In this article, we outline actionable strategies for strengthening one of the most essential administrative data assets—encounter data—and explain how improving this resource can unlock the ...
The Deficit Reduction Act of 2005 provided the resources to establish the Medicaid Integrity Program (MIP), the first national strategy in the 40-year history of the Medicaid program to promote the ...
CMS finalized a rule this week that ends what it called a healthcare‑related 'financing gimmick,' marking one of the most sweeping Medicaid program‑integrity actions in years. CMS said some states set ...
State modernizes quality assurance and expands tools to bolster program integrity and access to careIRVING, Texas, April 08, 2026 (GLOBE NEWSWIRE) -- Gainwell Technologies LLC today announced that New ...
WASHINGTON — A House committee has launched an investigation into alleged Medicaid fraud in 10 states — including New York and California — demanding records “to ensure program integrity in states ...
New York is about to get the Oz treatment. Medicaid czar Dr. Mehmet Oz is turning up the heat on Gov. Kathy Hochul, launching an investigation into the state’s massive $124 billion Medicaid program — ...
A new federal review from the U.S. Centers for Medicare & Medicaid Services shows Minnesota’s Medicaid program has an improper payment rate far below the national ...