"This conduct violates multiple statutory and regulatory requirements, including the obligation to submit accurate risk adjustment data through the required electronic systems, report and return ...
Centers for Medicare & Medicaid Services (CMS) deferred $259.5 million in federal Medicaid funds to Minnesota over program integrity concerns. CMS will impose a six-month nationwide moratorium on new ...
Mission Hospital's 'immediate jeopardy' status is removed, but CMS set a July 26 deadline for full compliance. If not met, ...
Federal regulators have lifted the immediate jeopardy status at Mission Hospital, Greg Lowe, CEO of the Asheville, N.C.-based hospital, said in a March 4 memo to staff. CMS placed the hospital in ...
The Centers for Medicare and Medicaid Services is freezing enrollment in Elevance Health's Medicare Advantage-Prescription Drug Plans for alleged noncompliance with risk adjustment and data submission ...
On January, 29, 2026, Centers for Medicare & Medicaid Services (“CMS”) published a final rule, Medicaid Program; Preserving ...
As it continues to put a focus on addressing fraud, waste and abuse in healthcare, the CMS said it is also seeking feedback on additional fraud prevention strategies it could use in a future rule as ...
Federal regulators are planning to suspend enrollment in Elevance's MA plans at the end of March, in a rare and serious threat to the company’s finances.
CMS suspend enrollment into Elevance Medicare Advantage plans starting March 31 due to noncompliance with risk adjustment data requirements.
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