New York is about to get the Oz treatment. Medicaid czar Dr. Mehmet Oz is turning up the heat on Gov. Kathy Hochul, launching an investigation into the state’s massive $124 billion Medicaid program — ...

The Deficit Reduction Act of 2005 provided the resources to establish the Medicaid Integrity Program (MIP), the first national strategy in the 40-year history of the Medicaid program to promote the ...

The Centers for Medicare & Medicaid Services (CMS) on Wednesday singled out personal care and home- and community-based services (HCBS) in announcing ...

CMS finalized a rule this week that ends what it called a healthcare‑related 'financing gimmick,' marking one of the most sweeping Medicaid program‑integrity actions in years. CMS said some states set ...

Agentic AI can connect historical behavior, evolving utilization signals and payment integrity requirements into a single control framework that adapts over time.

Add Yahoo as a preferred source to see more of our stories on Google. The site aims to correct false claims and exaggerated figures about Medicaid fraud. The fact-check page is part of the state’s ...

Gainwell Technologies LLC, a leading innovator in healthcare technology and Medicaid modernization, will participate in the 2026 State Healthcare IT (HIT) Connect Summit Feb. 23-26 at the Hyatt ...

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

A sweeping Republican bill aiming to reform Kentucky’s Medicaid program would impose copays on some patients, among other changes that advocates say would put up barriers to care.  House Bill 2 was ...