3+ day, 5+ hour ago   (516+ words) BALTIMORE (WBFF) — Maryland lawmakers pressed state health officials Wednesday over millions of dollars in questionable Medicaid payments and other repeat problems flagged by state auditors, including claims tied to people who were incarcerated or already dead. The scrutiny came during…...

3+ day, 14+ hour ago   (620+ words) The state failed to revalidate a third of its Medicaid providers over the last five years, in violation of federal law. New Jersey is failing to keep up with federally mandated oversight procedures for Medicaid recipients, creating an environment in…...

1+ week, 5+ day ago   (303+ words) As a physician-executive in Oregon, I have watched this fiscal pressure unfold. In recent budget cycles, Oregon made a massive, commendable commitment to expand access, allocating $1.6 billion to behavioral health within the Oregon Health Authority. Major regional health plans stepped…...

2+ week, 19+ hour ago   (213+ words) NOTE: The Maryland Office of the Attorney General shared the following press release: The crash was so severe that the Maryland Medicaid program had to take its system off-line for eight months in 2020, putting the program that provides mental health…...

2+ week, 4+ day ago   (432+ words) Nebraska Auditor of Public Accounts Mike Foley testifies before the Legislature's Government, Military and Veterans Affairs Committee. Feb. 5, 2026. (Zach Wendling/Nebraska Examiner) A Nebraska auditor’s probe has discovered examples of “highly questionable billing” and alleged weak oversight in a Health…...

3+ week, 1+ day ago   (1689+ words) For 40 years, Herschel “Don” Moore worked as a truck driver. He raised a family, bought a home and at age 62 his wife Lisa Moore said he wishes he could stay in the workforce. “He's worked his whole life. He's never…...

3+ week, 2+ day ago   (204+ words) SALT LAKE CITY (KUTV) — An animated Governor Cox said a budget overrun in the Utah Medicaid program, which could approach $200 million, has nothing to do with mismanagement, fraud or waste. At a PBS Utah news conference Thursday, 2News asked if he…...

1+ mon, 6+ hour ago   (358+ words) Scholar warns that the fall of Chevron deference could destabilize health care fraud enforcement. In June of last year, federal prosecutors charged over a dozen individuals with perpetrating a scheme involving $10.6 billion in fraudulent health care claims—the largest case…...

3+ week, 3+ day ago   (505+ words) Increasing access to Medicaid services can be appropriate and necessary, but it must be done with strong guardrails and accountability. We have seen what can happen when controls are loosened. Most recently, a treatment provider agreed to pay $16.2 million to…...

3+ week, 3+ day ago   (380+ words) Airport biometrics giant Clear has announced a partnership with Healthy Together, a Miami-based company that provides software for health and human services (HHS) technology, which will see the Clear1 identity product integrated into Healthy Together’s AI verification platform, to help curb…...