Advancing technology, evolving healthcare legislation, and the transition from fee-for-service to value-based care models is catalyzing a rapid transformation in American healthcare. Ensuring these ...

Late yesterday, August 28, 2013, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services posted its Program Integrity: Exchange, SHOP, and Eligibility Appeals ...

As the fog of the COVID-19 war continues to dissipate, it has become increasingly clear that hundreds of billions of dollars were needlessly added to the national debt due to the government’s ...

Medicaid, the federal and state program that provides health coverage to low-income and elderly adults, children, pregnant women and people with disabilities, is countercyclical by nature. During an ...

“Program integrity” is the sort of technical term that sounds good. Who wouldn’t want to run Social Security with integrity? But unfortunately, in the Alice-in-Wonderland world of Washington-speak, ...

It finalizes portions of the program integrity rule proposed in June, 2013, much of which had gone final in August. I blogged about the proposed rule here. The regulation also finalizes interim final ...

UPDATE: A previous version of this story, published on Monday, reported that 2.5% of unemployment people are stuck in program integrity holds, which is potentially 2,800 people out of the total ...

The mission of Research Integrity & Security and the IRB is to verify and promote the continual ethical conduct of research. The Human Research Protection Program (HRPP) has a quality improvement plan ...