CMS
CMS seeks to expand tech-driven fight against Medicaid fraud
The agency is looking at “testing new approaches and really being able to think outside of the box” to claw back improper payments, according to CMS COO Kim Brandt.
AI ‘nihilism’ is a barrier to better health care, CMS lead says
CMS Administrator Dr. Mehmet Oz said the agency has had internal discussions about introducing an agentic AI tool “for every beneficiary.”
CMS touts early uses of new biometric verification tools for Medicare.gov
Amy Gleason, acting administrator of the U.S. DOGE Service and strategic advisor to CMS, said 60% of accounts created since the rollout “have all been using one of these modern credentials.”
White House ‘war on fraud’ to begin with freezing Medicaid payments to Minnesota
Minnesota Governor Tim Walz called the move “retribution.”
CMS saved $2 billion by using AI to fight fraud, official says
Centers for Medicare and Medicaid Services COO Kim Brandt talked about her agency’s use cases for artificial intelligence in the ongoing battle against fraudulent medical claims.
CMS built a waitlist for its AI chatbot — and that drove momentum — official says
The approach helped the agency get more targeted insights from those familiar with the emerging capabilities.
CMS launches ‘chili cook-off competition’ to source AI that can detect fraud
The agency said it is looking for innovative solutions that can “uncover unusual patterns, anomalies, or trends that may signal fraudulent activity” in Medicare claims data.
White House launches digital health initiative backed by leading tech firms
President Trump said the effort to create a more robust digital health ecosystem will give providers and patients more streamlined access to health information.
CMS findings identify barriers to effective healthcare
COMMENTARY | Many of these issues are multifaceted and complex to address, and they would require collaboration between public and private sectors.
ATO ASAP: Let’s finally fix the security compliance problem
The process federal agencies go through to prove a system is secure may actually be making us less secure. This is a problem that we must fix today, not tomorrow.
Accenture rebuffed again in Healthcare.gov protest
Accenture Federal Services lost yet another protest in its effort to hold on to a contract operating the Healthcare.gov exchange that connects health insurance applicants to coverage available under the Affordable Care Act.
Advanced tech and human operators
Artificial intelligence and machine learning tools are helping perform cybersecurity tasks, but humans remain central to the process, experts say.
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AI faces growing pains in the federal workplace
Auditors want artificial intelligence tools to monitor fraud and abuse, but the new tech is slow to penetrate agencies.
Agencies seek betters ways to track past performance
Federal officials want new methods to get feedback on their vendors into the Contractor Performance Assessment Reporting System.
QSSI gets a 1-year extension on health care data hub
A long and drawn-out procurement including four rounds of protests and multiple federal lawsuits means that the incumbent contractor charged with maintaining a key piece of the Affordable Care Act infrastructure gets another year on the job.
USDS in action
Steve Kelman digs into the actual mechanics of a U.S. Digital Service team's partnership with a particular agency.
CMS launches API for Medicare claims data
The Centers for Medicare and Medicaid Services is flipping the switch on a service that lets Medicare beneficiaries more easily download and share their health data.
Why data chiefs need to be everywhere
Agency chief data officers belong where they are needed, and that's not necessarily in the IT shop.
Senators seek IG probe of HealthCare.gov outages
Four Senate Democrats are urging the Health and Human Services inspector general to probe the planned schedule for HealthCare.gov downtime during the coming open enrollment period.
Healthcare.gov downtime to grow during 2017 open enrollment
Uptime for the Healthcare.gov system will decrease during the coming open enrollment period, in part due to a shortened open season, and in part due to an increase in scheduled maintenance.
