Leading Republicans are looking toward the Government Accountability Office (GAO) to ensure CMS' new premium stabilization demonstration program is legal and in the best interest of seniors. In a ...

The Centers for Medicare & Medicaid Services (CMS) announced Wednesday operational details for the next stage in its competitive bidding program despite ongoing opposition from patient advocacy groups ...

The Centers for Medicare & Medicaid Services announced a seven-prong update to the Civil Money Penalty Reinvestment Program on Monday. The agency has increased the project funding cap by 20% and also ...

A top official at the Centers for Medicare & Medicaid Services informed Congress on Tuesday that federal investigators have ...

When I investigated and litigated False Claims Act (FCA) cases at the U.S. Department of Justice (DOJ) over the last 10 years, I was often surprised by just how little I knew about the broad array of ...

As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 ...

CMS is expanding Medicare’s Recovery Audit Contractor program to Medicare Advantage, as required by the ACA. The program was originally implemented for Medicare Parts A and B in January 2010. CMS ...

CMS launched an Application Program Interface that makes it easier to share electronic data for MACRA’s Quality Payment Program. In October, CMS revealed the program’s website. The new API, called the ...

As the Trump administration begins to make its mark on the Medicare drug price negotiation program and pursue its own policies on prescription drugs, litigation over program continues. In the two ...

The primary goal for CMS must be to ensure that corrective actions are in place so that improper payments can be reduced, says GAO. What are the Centers for Medicare & Medicaid Services (CMS) doing to ...