An audit of a Wisconsin transportation company that received $56 million from the state for non-emergency transportation to bring Medicaid beneficieries to appointments reveals the company often arrived late or not at all.
The battle over Medicaid expansion continues. While supporters of the program are thrilled with the enrollment figures, opponents fear the rising costs will plague states.
On the heels of a report earlier this month that as many as 1,800 physicians continued billing state Medicaid programs after they were banned from Medicare, a new report released by the Government Accountability Office indicates that Medicaid payment records are inaccurate and incomplete.
The Medicaid program costs the U.S. taxpayers some $460 billion a year. And it appears just 5 percent of the program's enrollees account for nearly half of its costs, according to a new report from the Government Accountability Office.
Analyzing the massive amounts of data flowing through the Medicaid program is one of the main focuses of his job, Jason McNamara, the Centers for Medicare & Medicaid Services senior technical director of Medicaid health IT, tells Healthcare Informatics in an interview.
Predictions that the health insurance exchanges would significantly shift the insurance business toward an individual market have yet to come true. In fact, the largest gains in health coverage are from increased enrollment in employer-based plans, according to a new study from Rand Corp. that was published in the journal Health Affairs.
More than $120 million in improper billing activity has taken place in Georgia over the past week. On Monday, a hospital settled allegations from federal prosecutors that it violated the False Claims Act by cutting a check for $20 million. Meanwhile, Centers for Medicare & Medicaid Services officials want the state's Medicaid program to return $100 million in overpayments to nursing homes.
Last week, the National Football League approved a settlement that would issue payments to injured players after the league failed to properly investigate and respond to concussion-causing hits. However, a big slice of the payments will instead go to the players' health insurers.
Earlier this month, a handful of Republican lawmakers unveiled their alternative plan to the Affordable Care Act. In part, the Patient Choice, Affordability, Responsibility and Empowerment Act aims to completely restructure Medicaid. Even though its terms appear "sketchy," as the New England Journal of Medicine put it, the proposal deserves recognition.
The fight over Medicaid expansion in Florida and Texas escalated this week, as the Centers for Medicare & Medicaid Services warned Tennessee and Kansas that their special funding to pay hospitals and doctors for treating the poor could be pulled if they don't expand Medicaid.