As it continues to put a focus on addressing fraud, waste and abuse in healthcare, the CMS said it is also seeking feedback on additional fraud prevention strategies it could use in a future rule as ...

The Centers for Medicare & Medicaid Services (CMS) on Wednesday singled out personal care and home- and community-based services (HCBS) in announcing ...

LUTZ, Fla., Nov. 19, 2025 /PRNewswire/ -- MyCare Medical, a participant in the CMS Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, expressed strong ...

Protect Medicaid signs light up at protect Medicaid lights up the U.S. Capitol amid a budget showdown on May 7, 2025 in Washington, DC. (Photo by Leigh Vogel/Getty Images) We find ourselves in an ...

President Donald Trump and Elon Musk’s Department of Government Efficiency (DOGE) have taken a chainsaw to the US federal government, slashing programs, personnel, research, and global aid. The ...

This article is the latest in the Health Affairs Forefront featured topic, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

BOSTON, Dec. 15, 2025 /PRNewswire/ -- Basys.ai, an agentic AI-powered prior authorization and utilization management platform, has been selected by the Centers for Medicare & Medicaid Services (CMS) ...

CMS issued a final rule Thursday to clear up issues inherent in shared savings payments that could implicate physicians in fraud and abuse laws. The rule, issued by CMS and HHS’ Office of Inspector ...

CMS will share its data analytics tools and best practices for preventing medical claims fraud, waste and abuse with the U.S. Department of Veterans Affairs, the agencies announced Jan. 23. Under the ...