A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act ...
The Trump administration is floating a proposal to establish a permanent framework for Medicare drug price negotiations. | ...
Codification replaces time-limited guidance authority after the first three cycles, establishing enduring parameters for 2029+ negotiations of up to 20 selected drugs spanning Part B and Part D.
Permanent rulemaking would replace IPAY 2026–2028 guidance, enabling predictable annual negotiations of up to 20 drugs and defined manufacturer agreement and renegotiation requirements. Formularies ...
On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...
CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...
The Government Accountability Office has issued a report recommending CMS more clearly communicate its goals for the Medicare Integrity Program and improve the reliability of data used to calculate ...
Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the ...
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