Medicaid budget savings options list for Idaho legislators. idahonews.com/news/local/gov…

Medicaid Fraud, Waste, and Abuse: Texas Governor Greg Abbott orders more actions, including: - Verifying Medicaid MCOs’ compliance with fraud investigation requirements. - Increased audits of high-risk provider types. - Targeted utilization review of autism services.

📅 Happening today at 1pm ET! What’s next for Medicare? Join CMS’s current and former Medicare Directors — Chris Klomp & Demetrios Kouzoukas — for a must-see discussion on reform, payments, competition, and more. Free virtual event Sign up now: t2m.io/sjt1xwu

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It's astonishing what such an impact on stock prices says about: 1) the importance of MA to health insurers, 2) the importance of overpayments to MA. cnbc.com/2026/01/26/hea…

Prescription Drug Affordability Boards (PDABs): Litigation over State Attempts to Control Prescription Drug Costs. Interesting 5-page CRS legal brief on lawsuits challenging state PDABs. #pharma #drugprices #pharmacies congress.gov/crs_external_p…

Negotiation Process for Medicare Part D Drugs: Infographics on the implementation timeline, drug selection process, negotiation process, and Maximum Fair Price (MFP). Via CRS. #pharma #CMS #drugs congress.gov/crs_external_p…

House launches investigation into hospitals allegedly letting foreign patients jump organ transplant lines. foxnews.com/politics/house…

Medical watchdog challenges key study used to justify DEI health policies: 'Scientifically unsound' foxnews.com/politics/medic…

Medicare Advantage: Informative article on federal crackdown on overpayments. Via TheStreet thestreet.com/retirement/med…

“Obstacles are those frightening things you see when you take your eyes off your goal.” ― Henry James

Is Maine the next Minnesota? thehill.com/homenews/state…

Minneapolis interpreter pleads guilty as part of long running Minnesota Medicaid fraud in non-emergency transportation. hoodline.com/2026/02/twin-c…

New York’s runaway $115B Medicaid ‘gravy train’ needs oversight in light of Minnesota fraud, critics charge nypost.com/2026/02/04/us-…

Price competition in the absence of prior authorization oversight may increase DME fraud: nber.org/system/files/w…

Why are health insurance costs increasing? From 2014 to 2023, prices for medical services rose by less than the overall rate of inflation. Technological improvements have made available costlier treatment options, and patients are using them more often. city-journal.org/article/health…

Louisiana Dept of Health targets fraud with new internal accountability officer role. #Medicaid nola.com/news/healthcar…

Per OpenClaw: NY is two-thirds of all personal care aide billing in the entire country. And the top 25 zips nationally for T1019 per capita are almost entirely NYC zip codes — with 02072 (Stoughton, MA — Tempus Unlimited HQ) and 12110 (Latham, NY — Public Partnerships HQ) at the

Medicaid transportation fraud prosecution in Colorado. cbsnews.com/colorado/news/…