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CMS Weaponizes Fraud Against Medicaid in Minnesota: The State Fights Back
On March 2, the state of Minnesota filed a lawsuit against the Centers for Medicare & Medicaid Services in federal district court. The case, State of Minnesota v. Oz, is in response to two actions taken by CMS against the state for what CMS says is the state’s failure to control fraud against its Medicaid…
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CMS Weaponizes Fraud Against Medicaid in Minnesota: Part 2
At a White House press conference last Wednesday, Vice President J.D. Vance, newly tasked with leading a war on fraud, announced that “we have decided to temporarily halt” $259 million in federal matching payments to the state of Minnesota due to fraud against its Medicaid program. He emphasized: “…we don’t want to do this. We…
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Medicaid Managed Care: The Big Five in Q4 2025
The Q4 2025 results for the “Big Five” Medicaid managed care companies are now available. These publicly-held companies—Centene, CVSHealth/Aetna, Elevance, Molina, and UnitedHealth Group—together control about half of the Medicaid managed care market, so their performance matters to tens of millions of Medicaid beneficiaries. (The results for prior quarters in 2025 are here, here, and…
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Implementing Costly Medicaid Work Reporting Requirements: Who Will Foot the Bill?
Introduction The budget reconciliation bill enacted in July 2025 (H.R. 1) includes two major changes to federal Medicaid law that will impose large implementation costs on most states. One mandates the states that extend Medicaid coverage to low-income (“expansion”) adults require those adults to report 80 hours of work or community service per month. The other…
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CMS Quietly Releases Medicaid State Improper Payment Rates for 2025: How Did Minnesota Do?
With little fanfare, CMS earlier this month released a Fact Sheet on improper payments in Medicare, Medicaid, CHIP, and the Marketplaces in 2025. With even less fanfare, CMS this week posted Medicaid improper payment rates for 17 states, including Minnesota. To its credit, CMS did not conflate Medicaid improper payments with fraud against Medicaid. In the…
