As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.
The Trump administration is ramping up efforts to end Medicaid fraud and blue states are under scrutiny. Here's what you need ...
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Lombardo backs federal Medicaid integrity push, highlights Nevada efforts to curb fraud
Gov. Joe Lombardo on Thursday voiced support for recent federal efforts to strengthen Medicaid program integrity and outlined Nevada’s actions to combat provider fraud and protect taxpayer dollars.
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 ...
On April 23, 2026, Dr. Mehmet Oz, in his capacity as Administrator of the Centers for Medicare & Medicaid Services ("CMS"), ...
The 340B rebate pilot model set to begin in January 2026 starkly presents the key tradeoff between program integrity and support for safety net providers and poses an important question: can the 340B ...
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