Advancing technology, evolving healthcare legislation, and the transition from fee-for-service to value-based care models is catalyzing a rapid transformation in American healthcare. Ensuring these ...

Late yesterday, August 28, 2013, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services posted its Program Integrity: Exchange, SHOP, and Eligibility Appeals ...

Although the nearly three-week government shutdown did real damage to the nation’s economy, it did have its bright side. For three weeks those of us who scan the Federal Register for new regulatory ...

“Program integrity” is the sort of technical term that sounds good. Who wouldn’t want to run Social Security with integrity? But unfortunately, in the Alice-in-Wonderland world of Washington-speak, ...

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 ...

Fraud, waste, and abuse in relation to government programs threaten this goal and end up costing taxpayers and the government billions of dollars every year. Program Integrity policies should be ...

Boy, do you have your work cut out for you! Gov. Walz appointed you last month to the brand-new position of director of program integrity to strengthen fraud prevention. An agricultural metaphor may ...

While concerns of student cheating are nothing new, the pandemic-forced shift to a virtual environment and online exams, has made it a top issue for academics. Faculty members are altering their exams ...