Fresh off declaring "victory" over Virginia’s roughly $65 million redistricting ballot measure — which Republicans criticized as a "dark money"-backed gerrymander — the Republican National Committee ...

Spring is the season of audits, renewals, and hard conversations. And for a growing number of health plans, one of those hard conversations is about their payment integrity vendor. We hear it ...

There’s a fraud problem in Minnesota’s public social services programs. As often happens with high profile issues, there are a lot of proposed solutions and rhetoric being tossed around. In our ...

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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.

The first formal AI governance body in the Healthcare Eligibility Data space — made up of industry compliance and data experts, along with leading healthcare provider and payer organizations.

Minnesota's fraud crisis is back in the spotlight at the state capitol, as the man tasked with investigating and finding solutions to the problem testifies before lawmakers. Tim O'Malley, Gov. Tim ...

MINNESOTA (Valley News Live) - The state’s newly appointed director of program integrity presented a 57-page roadmap Monday outlining how Minnesota plans to prevent and address fraud in public ...

Boy, do you have your work cut out for you! Gov. Walz appointed you last month to the brand-new position of director of program integrity to strengthen fraud prevention. An agricultural metaphor may ...

Program Integrity Director Tim O’Malley unveiled recommendations for combating fraud in state programs on Monday morning. O’Malley was appointed in December and is working with third-party experts at ...

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