States can align capitation withholds with value-based payment state-directed payment arrangements to incentivize managed care plans and providers to improve outcomes for dually eligible individuals.

The Trump Administration continues its focus on rooting out fraud, waste, and abuse in federalprograms,includingMedicaid. In March 2026, President Trump issued an Executive Order establishing the Task ...

The Deficit Reduction Act of 2005 provided the resources to establish the Medicaid Integrity Program (MIP), the first national strategy in the 40-year history of the Medicaid program to promote the ...

Medicaid is the joint federal-state health insurance program that provides medical coverage to almost five million low-income, elderly, disabled Floridians and children. Although the federal ...

As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

Medicaid programs are in a period of heightened scrutiny, as states confront growing complexity in how these programs are administered and sustained. A recent Kaiser Family Foundation analysis ...

More than 124,000 people enrolled in Ohio Medicaid were simultaneously enrolled in Medicaid programs in other states for at least three months at a time from 2019 through 2022, Ohio Auditor of State ...