Payment Integrity

CMS finalized the CY 2027 Medicare Physician Fee Schedule, effective January 1, 2027, with changes affecting preventive care, ACO participation, quality reporting, and payment integrity. Though it creates no direct solicitation or award, the rule may drive provider and contractor demand for billing, reporting, and care-coordination system updates.

OPM identified about 50,000 deceased individuals still listed in FEHBP records, including $96.3 million in payments made after dates of death and an estimated $10.4 million in carrier costs. The review signals closer scrutiny of enrollment verification, payment controls, and claims processing, but does not announce a contract award or solicitation.

Federal inspectors general are emphasizing faster, contextualized data analysis to strengthen fraud oversight. The Interior OIG’s FY2027 plan targets payment integrity and agency purchases, signaling that contractors should expect attention to auditable purchasing records and timely access to reliable data; no active solicitation or contract value is identified.