O&I Subcommittee: Protecting Patients and Safeguarding Taxpayer Dollars: The Role of CMS in Combatting Medicare and Medicaid Fraud
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Exclusive | Dr. Oz launches fraud probe of New York’s $124B Medicaid program
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In Medicaid fraud crackdown, feds now looking to audit all 50 states
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Oversight Subcommittee Holds Medicare and Medicaid Integrity Hearing
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Modernizing Medicaid Management Information Systems
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Dr. Oz demands action from Minnesota officials amid Medicaid fraud scandal
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2025 CMS QPP Attestation Window Open
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QualCode, Inc. on Instagram: "🚨 CMS Releases Proposed 2027 Notice of Benefit & Payment Parameters CMS has published its proposed payment parameters for health insurance marketplaces (ACA Exchanges) for the 2027 plan year — part of the annual process that shapes coverage, premium tax credits, and program integrity. 🧠 Key points for payers, RCM & compliance teams: • 🔎 CMS is proposing a SEIPM improper payment measurement program for advance premium tax credits (APTC) across all Federally and St
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Today, CMS notified Governor Walz and the state of Minnesota that we are deferring an additional $91 million in federal Medicaid funding.This follows a pattern we can’t ignore. From the “Learing Center” scandal to the recent DOJ action involving childcare centers, Minnesota’s Medicaid program has shown serious vulnerabilities to fraud. These are not isolated breakdowns—they point to systemic issues that must be addressed.Here’s the reality: the federal government funds roughly half of Medicaid.
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x.comDrOzCMS
1:23
NEWS: CMS Administrator Dr. Mehmet Oz announced the deferral of an additional $91M in federal Medicaid funding to Minnesota, citing serious vulnerabilities to fraud in the state’s program. Of that amount, $76M is tied to 14 high-risk service categories, and $14M involves program integrity concerns, including payments for ineligible individuals.
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