The Centers for Medicaid and Medicare Services this week released a report on complaints and enforcement efforts concerning the Public Health Service Act, which includes the No Surprises Act. As of ...

CMS will provide states monthly reports of beneficiaries whose citizenship or immigration status cannot be confirmed. States are expected to take “appropriate actions” including limiting coverage, the ...

Washington D.C.’s Congressional Budget Office (CBO) recently reported that under President Donald Trump’s One Big Beautiful ...

The Centers for Medicare & Medicaid Services today announced a nationwide initiative aimed at reinforcing eligibility ...

Read the OIG’s report “ CMS Reporting to the Healthcare Integrity and Protection Data Bank ” (pdf). Read other coverage about Medicare and Medicaid fraud. – New York Surgeon Charged With Bilking $3.5 ...

According to a 2025 report from KFF, a health policy nonprofit, less than 12% of Medicare Advantage denied prior authorization requests were appealed in 2023. This is despite the fact that most of ...

The report faulted CMS for delegating that responsibility to states since such certification is required for participation in Medicare and Medicaid, which are federal programs.