Latest
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The Administration Weaponizes Fraud Against Medicaid: HHS OIG Hammers Hawaii
On May 13, Vice President Vance, the chair of the White House Task Force to Eliminate Fraud, held a press conference. He announced the deferral of $1.3 billion in federal Medicaid matching payments owed to California, which received considerable attention. He also announced that the HHS Inspector General had by letter that day warned state…
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Medicaid Managed Care: The Big Five in Q1 2026
The “Big Five” have reported their financial and enrollment results for the first calendar quarter of 2026. The “Big Five” are the five largest publicly-traded insurers, measured by enrollment, in the Medicaid managed care market. Four of them—United Health Group, Elevance, CVSHealth/Aetna, and Centene, in that order—were also the four largest commercial health insurers by…
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CMS Weaponizes Fraud Against Medicaid in California
For the second time in the 60-year history of the Medicaid program, a CMS deferral of federal matching funds has been announced by the Vice President of the United States at a White House press conference. The first time was on February 25, when Vice President J.D. Vance told the press that CMS was delaying…
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CMS Weaponizes Fraud Against Medicaid in Minnesota: Is the Fiscal Assault Headed for the Off-Ramp?
The fiscal assault on Minnesota’s Medicaid program appears to be headed for the off-ramps. Led by Dr. Mehmet Oz, the CMS Administrator, with the full-throated support of Vice President J.D. Vance, CMS launched a two-pronged attack. The first, launched on January 6, was a threat to withhold $515 million in federal Medicaid matching funds per…
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Governors and State Medicaid Directors Get a New Assignment from Dr. Oz: Quickly Recertify “High-Risk” Providers
On April 23, CMS Administrator Dr. Mehmet Oz sent a letter to all 50 Governors calling upon their Medicaid programs to “undertake a swift revalidation of Medicaid providers of services at high risk of waste, fraud, abuse, and corruption.” In the letter he requests that the Governor notify CMS within 10 business days (May 7)…
