Federal prosecutors say Minnesota's Medicaid system is facing a fraud crisis so large it could eclipse 9 billion dollars, a figure that would rank among the most staggering public-assistance scandals ...

BOSTON, Dec. 15, 2025 /PRNewswire/ -- Basys.ai, an agentic AI-powered prior authorization and utilization management platform, has been selected by the Centers for Medicare & Medicaid Services (CMS) ...

Milliman, a global leader in actuarial and healthcare analytics, is proud to announce it has been selected as a finalist in the Centers for Medicare & Medicaid Services (CMS) “Crushing Fraud Chili ...

As Congress continues to debate next steps on the Affordable Care Act's (ACA's) enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures ...

Centers for Medicare & Medicaid Services (CMS) Administrator Mehmet Oz on Friday warned Minnesota Gov. Tim Walz the state could lose federal Medicaid funding unless it restores "the integrity" of its ...

The Centers for Medicare and Medicaid Services recently announced negotiated prices for 15 drugs, finalizing the second iteration of the Medicare Drug Price Negotiation Program. The first set of ...

The Minnesota Department of Human Services (DHS) is launching a new website to enhance transparency in Medicaid fraud investigations. The effort follows an executive order issued by Gov. Tim Walz two ...

Getting your Trinity Audio player ready... Susan Root often works 16-hour days as she makes sure the machines that feed her daughter and pump oxygen into her lungs are working. She also manages her ...

Indiana is removing MDwise as a health insurance option for its Medicaid programs, affecting about 300,000 people. State officials cited MDwise as being the most expensive and lowest quality plan ...

Even before the conflict over Obamacare subsidies that resulted in a month-and-a-half-long government shutdown, Democrats were already attacking Republicans over their reforms to the federal public ...

John Wilkerson is a Washington correspondent for STAT who writes about the politics of health care. He is also the author of the twice-weekly D.C. Diagnosis newsletter. WASHINGTON — When President ...