Becker's Hospital Review

Medicare fee-for-service improper payments hit $28.8B: CMS

CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.
Soy Aire on MSN

Can GLP-1 drugs like Wegovy drop to $50? A new pilot program explains

Medicare plans to cap costs for GLP-1 weight-loss drugs like Wegovy at about $50 a month under a new agreement set to launch ...
Jefferson Public Radio

Medicaid has a new way to pay for costly sickle cell treatment: Only if it works

Medicaid is doing a novel payment system for the new, promising and expensive sickle cell treatment. It may become a model ...
Healthcare Dive

CMMI to launch model to lower Medicaid drug spending

Under the model, set to start next year, the CMS will negotiate lower prices for Medicaid programs linked to those paid in select other countries with participating pharmaceutical manufacturers. Under ...

Minnesota to appeal $2B Medicaid funding pause for programs at risk for fraud

Minnesota’s Department of Human Services is appealing a decision by the administration of President Donald Trump to withhold ...
GV Wire

Fresno Unified Not Alone in Medicare Advantage Fight. Program Faces Trouble

Insurers have been canceling Medicare Advantage programs for years. Fresno Unified isn't alone in the fight between payers ...
FOX 9 Minneapolis-St. Paul on MSN

Trump admin to audit Minnesota Medicaid receipts, defer payment to 14 programs

In a letter to Gov. Tim Walz, Dr. Oz said the Centers for Medicare and Medicaid Services will start auditing Minnesota ...

Minnesota freezes provider enrollment for 13 Medicaid programs over fraud risk

The agency announced the new step on Thursday. It comes at the order of the federal Centers for Medicare and Medicaid ...