CMS Defer $1B in Medicaid Payments to CA, MN
CMS withholds $1B in Medicaid payments from California and Minnesota, exposing how eligibility controls, cash flow, and federalism collide directly.
Fraud
Post Acute Care Compliance Checklist for 2026
Use this post acute care compliance checklist to align governance, billing, quality, referrals, privacy, and audit readiness across your organization.
Medicare Hospice Fraud Is a Policy Failure
Medicare hospice fraud reflects weak oversight, distorted incentives, and rising compliance risk for operators, investors, and policymakers.
Home Health Compliance Updates That Matter
Home health compliance updates are getting sharper, faster, and more expensive to ignore. Here’s what operators should watch now in 2026.
Hospice Regulatory Changes 2026 Explained
Hospice regulatory changes 2026 will reshape compliance, oversight, and margins. Here’s what operators, investors, and leaders should watch now.
CMS: Moratorium on Hospices and Home Health
On May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) imposed a nationwide six-month moratorium on new Medicare enrollments for hospice providers and home health agencies (HHAs). The action follows a recent executive order creating a federal task force to prevent fraud and disrupt fraud networks. Scope of the Action The new restrictions … Read more
VOHRA Wound Care Faces Medicare Fraud Claim
The U.S. Department of Justice (DOJ) filed a False Claims Act lawsuit on April 4, 2025, against Vohra Wound Physicians Management LLC, Dr. Ameet Vohra, and VHS Holdings, P.A., in the U.S. District Court for the Southern District of Florida (Case No. 25-cv-21570). The complaint alleges that since December 2017, Vohra engaged in a nationwide … Read more
Medicaid Spending Reductions, Part III
Policy Options and Alternatives to Reduce Medicaid Costs This is part three of a series I wrote on Medicaid spending reductions (proposed). Recent Republican budgets have targeted Medicaid for $800 plus billion in spending reductions. This final post in the series covers the likely choices available from a policy perspective, to achieve the savings target. … Read more
Medicare Hospice and Home Health Fraud, Part 3
This is part three of the series of posts on hospice and home health fraud. Parts one and two can be accessed below. https://rhislop3.com/medicare-hospice-and-home-health-fraud-part-1/ https://rhislop3.com/medicare-hospice-and-home-health-fraud-part-2/ Recent Cases and Settlements in Medicare Fraud High-Profile Hospice Fraud Convictions Several recent cases highlight the persistence of fraudulent practices in hospice care billing under Medicare. One notable example involves … Read more
Medicare Hospice and Home Health Fraud, Part 2
Late last week, I posted the first part of a three-post, comprehensive review of Medicare hospice and home health fraud. Medicare home health and hospice billing fraud has emerged as a significant issue within the U.S. healthcare system, costing taxpayers billions of dollars annually and jeopardizing the integrity of federal health programs. This is part … Read more