Weaponizing fraud and using it as a pretext to take funds away from states will destabilize their programs and ultimately ...

Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.

If you rely on Medicare, a significant change is on the horizon. The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of a pilot program that will bring prior authorization ...

The Trump administration is opening a fraud probe in Florida as it expands its nationwide crackdown on state Medicaid ...

The Trump administration launches fraud probe into New York's Medicaid program, citing alleged waste. Gov. Kathy Hochul has ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

FIRST ON FOX: The Centers for Medicare and Medicaid Services (CMS) announced a new nationwide push to purge illegal immigrants from public health insurance programs on Tuesday. Under the new ...

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 White House said Monday afternoon that it will extend the deadline for drugmakers to apply for a new model that seeks to establish most-favored nation pricing in Medicaid. The Centers for Medicare ...

New York is about to get the Oz treatment. Medicaid czar Dr. Mehmet Oz is turning up the heat on Gov. Kathy Hochul, launching ...