The Trump Administration and Congress continue to focus on rooting out fraud, waste, and abuse in federal programs, including Medicaid. Those efforts include 50-state initiatives and targeted actions ...

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 ...

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.

The Trump Administration continues its focus on rooting out fraud, waste, and abuse in federalprograms,includingMedicaid. In March 2026, President Trump issued an Executive Order establishing the Task ...

Medicaid managed care provides a structural framework to fight waste and fraud and reduce the cost to taxpayers. Recent Medicaid program-integrity actions share a common feature: they concentrate on ...

The federal government continues to focus on addressing fraud, waste, and abuse in Medicaid, with much of the attention focused on home care services. KFF estimates that over 5 million people use ...

Both chambers are in town for a jam-packed week before the Senate leaves for the July 4 recess. The main healthcare action this week remains focused on program integrity. The House Energy and Commerce ...

Add Yahoo as a preferred source to see more of our stories on Google. The Medicaid directors of Minnesota, California, New York and Ohio testify in front of the House Energy and Commerce's Oversight ...

IRVING, Texas, April 08, 2026 (GLOBE NEWSWIRE)-- Gainwell Technologies LLC today announced that New Mexico has deployed a comprehensive suite of the Health Management Systems, Inc. (HMS) program ...

Gov. Joe Lombardo on Thursday voiced support for recent federal efforts to strengthen Medicaid program integrity and outlined Nevada’s actions to combat provider fraud and protect taxpayer dollars.

For years, program integrity has often been associated with what happens after something goes wrong: an audit identifies an improper payment, an investigation uncovers an unusual pattern, or a ...