Medicaid programs are in a period of heightened scrutiny, as states confront growing complexity in how these programs are administered and sustained. A recent Kaiser Family Foundation analysis ...
One key to success has been to finally acknowledge the scale of the problem and adapt appropriately.
Designed with direct input from clients, Gainwell Provider Everywhere supports compliance with CMS revalidation requirements, strengthens program integrity, and reduces administrative burden for provi ...
Providers caution against overly broad enforcement as CMS pursues new Medicare disenrollment avenues
Provisions proposed in the 2027 Home Health payment rule would give the agency the right to revoke enrollment in the Medicare ...
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Dr Oz warns Medicare scammers are stealing billions — and your personal information could be next
Dr. Mehmet Oz says Medicare fraud costs taxpayers about $100 billion a year and warns seniors not to give out their Medicare ...
ASC leaders warn a proposed CMS rule aimed at rooting out Medicare fraud could have an unintended consequence, leading them to lose enrollment because of where they operate. Tucked inside the CY 2027 ...
CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.
Misaligned payment and quality incentives, Medicare Advantage practices, and workforce constraints can limit Medicare ...
Tampa General Hospital has sued Eli Lilly and Company over the drugmaker’s “unconscionable and immoral” rescindment of ...
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