An audit conducted by the U.S. Office of Inspector General (OIG) revealed Maine made at least $45.6 million in improper ...

Service (FFS) estimated improper payment rate was 6.55%, or $28.83 billion, compared to the FY 2024 reported rate of 7.66%, ...

By a News Reporter-Staff News Editor at Insurance Daily News-- New research on Managed Care is the subject of a report. Our news journalists obtained a quote from the research from the Northwestern ...

CMS filed a proposal July 11 to eliminate a rule that requires state Medicaid plans to record their fee-for-service payments. The proposal, signed by HHS Secretary Alex Azar and CMS Administrator ...

Among hospitalized patients with traumatic brain injury, Medicaid fee-for-service was associated with longer hospital stays than private insurance and Medicaid managed care organizations. Objectives: ...

The U.S. Department of Health and Human Services (HHS) announced Friday that an audit conducted by its Office of Inspector ...

A recent report shows that the Georgia agency responsible for Medicaid has failed to adopt or follow most prior audit recommendations intended to improve dental care access for children, including ...

HHS-OIG states that Medicaid payments for RCS services in Maine grew from $52.2 million in 2019 to $80.6 million in 2023.

Difference in spending attributed to "coding intensity" and "favorable selection" ...

The traditional fee-for-service (FFS) healthcare model isn’t well-suited to meet the complex needs of patients with chronic illnesses including chronic kidney disease (CKD). As costs spiral and ...