The Centers for Medicare and Medicaid Services has said it will be increasing federal oversight to stop states from putting Medicaid dollars toward healthcare for people who are in the country illegally.
Category: Medicare and Medicaid, Legislation, Public Policy
UnitedHealth Group reportedly under investigation for criminal Medicare Advantage fraud
UnitedHealth Group is under investigation by the U.S. Department of Justice for alleged criminal healthcare fraud, according to The Wall Street Journal, citing anonymous sources familiar with the investigation.
State attorneys general sue CVS Health for alleged Medicaid overpayments
Attorneys general from Massachusetts, Connecticut, Oklahoma and Indiana have filed a lawsuit against CVS Health claiming that it submitted “false and fraudulent claims” to state Medicaid programs.
The AGs say CVS Health charged these programs higher pr…
CMS denies Humana’s Medicare Advantage star ratings appeal
The Centers for Medicare and Medicaid Services has rejected an appeal from Humana to improve the latter’s Medicare Advantage star ratings, which could cost the insurer significant revenue in 2026.
On April 15, Humana and American for Beneficiary Choice…
CMS signals cutting future Medicaid demonstration programs
The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to “mounting expenditures,” such as housekeeping for non-Medicaid-eligible individuals, and high-speed internet for ru…
RFK Jr. will reportedly not appear before Senate subcommittee
The chairman and the ranking member of a Senate subcommittee have asked Health and Human Services Secretary Robert F. Kennedy Jr. to participate in a hearing on the reorganization of HHS, but Kennedy, reportedly, will not appear.
Senate Finance Committee advances Dr. Oz’s nomination as CMS administrator
The Senate Finance Committee on Tuesday advanced Dr. Mehmet Oz’s nomination to become administrator of the Centers for Medicare and Medicaid Services.
The 14 to 13 vote was along party lines. Oz next faces a vote for confirmation before the full Senate
CMS cutting four Medicare payment models
The Center for Medicare and Medicaid Innovation (CMMI) is planning on ending four payment models by the end of the year in a bid to achieve a projected $750 million in savings, though the agency did not say where the savings would take place.
CMS cutting four Medicare payment models
The Center for Medicare and Medicaid Innovation (CMMI) is planning on ending four payment models by the end of the year in a bid to achieve a projected $750 million in savings, though the agency did not say where the savings would take place.
Curbing Medicaid expansion could cause $80 billion hit to providers
Cutting Medicaid funding and halting the program’s expansion would result in providers revenues decreasing by about $80 billion, and uncompensated care on behalf of uninsured people would increase by $18.9 billion in 2026 due to declines in health insu…
