CMS

Our in-brief roundup of notable healthcare and life sciences stories from the last two weeks.

Federal agencies are expanding a Medicaid tech vendor partnership, but experts say it won’t fix the deeper state level challenges tied to new work requirements.

Medicare paid transplant centers for organs never used, an audit finds, prompting calls to tighten oversight and clarify conflicting federal rules.

Federal investigators say companies billed Medicare for dead patients, unsolicited equipment, and improper claims.

Appeals court reverses Florida ruling, finding FCA whistleblowers are not US officers and may continue bringing fraud claims on behalf of the government.

DOJ is increasing enforcement on Medicare Advantage upcoding as recent settlements reveal widespread issues with unsupported diagnoses and inflated payments.

Grand jury says $10m from a Medicaid settlement was improperly diverted to Hope Florida, raising concerns about oversight and use of public funds.

The agency says machine-learning and AI analytics contributed to increased enforcement.