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

The Costa Mesa-based provider receives full accreditation and recognition for excellence in outpatient addiction ...

State Program Integrity Director Tim O'Malley calls for a nine-pillar overhaul of how Minnesota prevents, detects and ...

Agentic AI can connect historical behavior, evolving utilization signals and payment integrity requirements into a single control framework that adapts over time.

LegitScript, the leader in merchant and product certification and monitoring, today announced a 137% year-over-year increase ...

Oracle Health has launched a device validation program aimed at standardizing how medical devices connect to health systems and electronic health records. The company introduced the Oracle Health ...

Florida’s growing senior population drives demand for cost-conscious coverage as 2026 healthcare costs, Medicare rules ...

Gov. Tim Walz (D-MN) has permanently appointed Shireen Gandhi, the official who was in charge of financial operations at the Minnesota Department of Human Services at the time that large-scale fraud ...

Strategic tech investment strengthens network scalability and delivers a seamless digital experience across Champion’s ...

New AI-powered Assessor Agents accelerate the evolution of third-party risk management and to the next generation of ...

A new report examining fraud risk in Minnesota government programs describes longstanding vulnerabilities dating back to the 1970s and repeated inaction by state leaders despite nearly a ...