Cost avoidance is becoming a priority for health plans facing pressure to control spending, improve payment accuracy, and protect limited healthcare dollars. With tighter budgets, federal requirements, and increased scrutiny of program integrity, plans need measurable savings that don't reduce

GAO’s Latest Findings on Improper Payments The Government Accountability Office (GAO) released report GAO-25-108067 in August 2025, identifying 32 open priority recommendations for the Department of the Treasury. At the forefront of these recommendations is the reduction of fraud and

​As previously discussed, potential federal budget cuts pose significant threats to Medicaid, impacting millions who rely on this essential program. Recent developments across various states highlight the urgency for proactive measures to mitigate these challenges.   California's Financial Measures California