The Trump administration’s top Medicaid official has been increasingly critical of the entitlement program she has overseen for three years. Seema Verma, administrator of the Centers for Medicare & Medicaid Services, has warned that the federal government and states need … Read More
The Trump administration wants to dramatically alter the way the federal government gives money to states for Medicaid. On Thursday, Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, announced a new pathway for states to receive … Read More
A top Trump health appointee sought to have taxpayers reimburse her for the costs of jewelry, clothing and other possessions, including a $5,900 Ivanka Trump-brand pendant, that were stolen while in her luggage during a work-related trip, according to documents … Read More
Why OIG Did This Review Outlier claim payments are based on hospital cost reports from the latest cost-reporting period for which the cost report is either settled as final or tentatively settled. The Centers for Medicare & Medicaid Services (CMS) … Read More
The Centers for Medicare & Medicaid Services (CMS) isn’t doing enough to prevent payment risks in Medicaid managed care organizations (MCOs), according to a new report from the Government Accountability Office (GAO). According to the report (PDF), CMS hasn’t initiated … Read More
In a much-anticipated decision in Family Rehab., Inc. v. Azar, Federal Judge Kinkeade enjoined the Centers for Medicare & Medicaid Services (“CMS”) from withholding Medicare payments to effectuate the recoupment of the alleged overpayments until an administrative law judge (“ALJ”) … Read More
With only nine days left before the expiration of the existing 1115 Waiver, in late December 2017, the Centers for Medicare & Medicaid Services (CMS) approved another extension of the 1115(a) demonstration project, “Texas Healthcare Transformation and Quality Improvement Program” … Read More
