All articles tagged with #cms
The Department of Justice indicted 15 Minnesotans for a $90 million Medicaid fraud scheme tied to autism services. CMS has withheld Medicaid payments over fraud concerns, and Minnesota plans to revalidate high‑risk providers as part of a broader crackdown, highlighting tensions between the Trump administration and state oversight of federal funds.
Drupal has issued a critical core security release to fix a high-exploitation vulnerability affecting Drupal 8 and newer. Administrators should plan to apply the update on May 20 UTC, upgrading to at least Drupal 10.6 or using hotfixes for older 9.x/8.x where available. Patches are released for 11.3.x, 11.2.x, 11.1.x, 10.6.x, 10.5.x, and 10.4.x; Drupal 8/9 are end-of-life and won’t receive patches, though hotfixes will be published for 9.5 and 8.9. Drupal Steward customers are protected but should still update. No technical vulnerability details are disclosed yet; admins should monitor Drupal’s security portal for official guidance.
Dr. Oz unveiled a 29-member coalition of insurers, hospitals, and health-records companies to streamline prior authorization for medical procedures, aiming for faster, more transparent decisions by next January. The move expands a trend of insurer pledges to reduce administrative burden, with groups like AtlantiCare, Bon Secours Mercy Health, and Cleveland Clinic on board. Medicare’s AI-powered pre-treatment reviews have begun in some states, while critics warn about persistent paperwork and calls in Congress to curb prior authorizations for Medicare Advantage. The effort signals ongoing pressure to simplify and standardize the process across providers and payers.
The Trump administration announced a six-month moratorium on new Medicare enrollments for hospice and home-health agencies to curb fraud, with no new licenses issued while existing providers remain. CMS will conduct targeted investigations and speed up removal of suspected fraudsters, a move that follows prior probes into hospice fraud and Medicaid anti-fraud funding concerns across states.
The Trump administration defers $1.3 billion in California Medicaid payments as part of a broader anti-fraud push, including reviews of Medicaid Fraud Control Units and a six-month moratorium on new hospice and home-health provider enrollments; officials say the measures aim to curb fraud, but critics warn about potential access issues and question their effectiveness.
The Trump administration will withhold $1.3 billion in federal Medicaid payments to California, citing the state’s inadequate anti‑fraud efforts. Vice President JD Vance announced audits of state Medicaid fraud control units and warned funds could be lost, part of a broader push against fraud in public health programs that has already included halting $259 million in Minnesota funds and a six‑month moratorium on new hospice providers as CMS investigates the industry.
Vice President JD Vance warned that federal Medicaid and Medicare funds could be turned off for states that do not aggressively tackle fraud, as CMS freezes new enrollments for hospice and home health agencies while it investigates; the move, part of a broader anti-fraud push, has drawn criticism that it could punish political rivals and threaten patient access, and its legal basis remains disputed.
Vice President JD Vance announced the administration will suspend $1.3 billion in California Medicaid payments and threatened to freeze funding for Medicaid Fraud Control Units in all states if fraud isn’t aggressively prosecuted; CMS chief Mehmet Oz cited red flags in California billing and announced a six-month moratorium on new Medicare enrollments for hospices and home health agencies as part of the anti-fraud push.
The White House, via CMS, is withholding $1.3 billion in California’s Medicaid reimbursements over alleged hospice-fraud gaps—the largest deferral in CMS history—while also pausing new hospice and home-health provider enrollments and pressuring the state to show patients actually received services, in a continuing feud over hospice oversight.
The Trump administration's CMS announced a six-month nationwide moratorium on new Medicare enrollments for hospice and home-health agencies to thwart fraud, while continuing investigations and removals of fraudulent providers; existing providers remain in operation, and the move is part of a broader anti-fraud push led by VP JD Vance, amid concerns about access and potential impacts on compliant providers.
MetInfo CMS versions 7.9–8.1 are under active exploitation for CVE-2026-29014, a critical unauthenticated PHP code injection (CVSS 9.8) that can give remote attackers arbitrary code execution. The flaw stems from insufficient input sanitization in weixinreply.class.php when handling Weixin/WeChat API requests, and requires an existing /cache/weixin/ directory. MetInfo released patches on April 7, 2026; exploitation has been observed since April 25, with honeypots in the US and Singapore and a surge on May 1 targeting China/Hong Kong. Roughly 2,000 online MetInfo instances are exposed, many in China, indicating a real risk of full server takeover for compromised systems.
At a White House event on health-care affordability, President Trump defended his drug-price figures by citing 'two ways of calculating'—a move critics say relies on mathematically inconsistent math, as CMS official Chris Klomp and Health and Human Services Secretary Robert Kennedy Jr. listened.
The CMS-backed ACCESS model provisionally approves 150+ participants—including mental health apps, wearables, and health-system services—to test technology-enabled, outcome-based payments for chronic conditions, with a deadline extension to allow more providers and companies to join.
The Trump administration acknowledged a major error in the numbers used to justify its New York Medicaid fraud probe, reporting that about 450,000 New Yorkers used personal care services last year—not the claimed 5 million. The discrepancy arose from how CMS applied billing codes, and the agency has refined its methodology while the probe continues. The correction raises questions about the basis for broader anti-fraud efforts nationwide, which are expanding to other states and tied to an administration-wide push led by Vice President Vance. New York officials criticized the initial figures, while critics warn against letting politically charged data drive program integrity debates.
AP Exclusive: The Trump administration concedes a major error in its New York health-care fraud accusations, signaling a reassessment of the case as CMS Administrator Dr. Mehmet Oz discusses ongoing fraud-fighting efforts.