In a September 24, 2026 report, HHS OIG found limitations in CMS’s process for checking the accuracy of state-submitted Medicaid managed care medical loss ratio data. Because medical loss ratio reporting helps show whether capitation payments are being spent on patient care rather than administration or profit, weaknesses in CMS review can affect oversight of public spending. The report is materially distinct from prior posts because it focuses on data validation and fiscal accountability in managed care reporting, not broader Medicaid demonstration or state control policies.
