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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…
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CMS Weaponizes Fraud Against Medicaid in Minnesota
On January 6, 2026, the Centers for Medicare & Medicaid Services (CMS) Administrator, Dr. Mehmet Oz, sent a letter to the Governor of Minnesota, Tim Walz, notifying him that his state’s Medicaid agency was “operating its program in substantial noncompliance” with federal requirements to “ensure sufficient controls to prevent, detect, and address fraud, waste, and…
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Medicaid Managed Care in 2025: The Year That Was
The lead story of 2025 is the enactment of H.R. 1, which will dramatically alter the Medicaid coverage and financing landscape over at least the next three years. The primary target of the law’s Medicaid cuts were the 41 states (including DC) that have elected to cover the expansion adults; of these, 34 contract with…
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Medicaid Managed Care: The Big Five in Q3 2025
Q3 2025 is the first quarter of a new chapter in the Medicaid managed care narrative. At the beginning of the quarter, H.R. 1 was enacted. As explained by our colleagues Edwin Park and Sabrina Corlette, the new law will upend Medicaid enrollment and financing for years to come, cutting federal payments to states by…
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Medicaid Managed Care: The Big Five in Q2 2025
Q2 2025, which ended on June 30, is not just another quarter. That’s because on July 4 the Budget Reconciliation Law (P.L. 119-21) was signed into law. That law makes major cuts to Medicaid, reducing federal payments to states by $990 billion over the next ten years and leaving 7.5 million Americans uninsured in 2034.…
