As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.
On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...
The 340B rebate pilot model set to begin in January 2026 starkly presents the key tradeoff between program integrity and support for safety net providers and poses an important question: can the 340B ...
New York's Medicaid program is being thoroughly examined by Centers for Medicare and Medicaid Services (CMS) Administrator Dr. Mehmet Oz, who claims there is evidence of widespread fraud. In a letter ...
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