On May 13, 2026, the U.S. Department of Health and Human Services Office of Inspector General (“HHS OIG”) sent a letter to the Attorneys General ...

On February 3, 2026, the U.S. Department of Health & Human Services, Office of Inspector General (OIG), published the long-awaited Medicare Advantage Industry Segment-Specific Compliance Program ...

Many Medicare Advantage and Medicaid managed care plans have limited networks of behavioral care providers, necessitating steps to improve the accuracy of network directories, according to a new ...

Network adequacy remains a significant challenge for behavioral healthcare in Medicare Advantage (MA) and Medicaid managed care, according to a new report. Analysts at the Department of Health and ...

Medicare Advantage organizations may be improperly using health risk assessments to increase risk-adjusted reimbursement, according to a report HHS’ Office of Inspector General issued in September.

A recent report published by the Office of the Inspector General showed the Medicaid program pays significantly less than Medicare for drugs. The OIG compared the prices paid (including rebates) for ...

The Office of the Inspector General (OIG) has been cracking down recently on Medicare overpayments to hospitals. Following an audit report done on March 13, OIG found that Boston's Brigham and Women's ...

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The OIG did not determine the accuracy of the Medicare RAC’s improper payment decisions, but argued that the Centers for Medicare & Medicaid Services could do a better job evaluating it’s own efficacy ...

The CMS could use its competitive bidding program to address price concerns, after payments for the devices swelled over five years, the government watchdog said. Medicare first started covering CGMs ...

A federal watchdog said Tuesday it has begun auditing nursing homes’ use of the Patient Driven Payment Model to drive skilled nursing reimbursement, and the first targeted facility is blasting the ...