Assisted living hospice care, HCBS, Medicaid make OIG list
By
Lois A. Bowers
May 22, 2017
Assisted living hospice care, Medicaid personal care services, home- and community-based services waiver programs and Medicaid data are four topics that made the top 25 list included in the Health and...
Attorneys general seek to expand search for Medicaid abuse and neglect cases
By
Lois A. Bowers
May 11, 2017
Thirty-eight attorneys general asked Health and Human Services Secretary Tom Price, M.D., Wednesday for a policy change that would allow them to investigate and prosecute a wider range of abuse and neglect...
Data on Medicaid-funded personal care services need to be improved, GAO says
By
Lois A. Bowers
Apr 26, 2017
One of 79 new actions that Congress or executive branch agencies could take to improve operations across government, according to the Government Accountability Office’s seventh annual report, released...
Per-capita Medicaid cap could reduce dual-eligible spending by $44 billion over 10 years
By
Lois A. Bowers
Apr 20, 2017
A per-capita cap on federal Medicaid funding growth based on medical inflation could reduce spending on dual-eligible beneficiaries by $44 billion over the next 10 years, according to new research.
GAO calls for more sharing of best practices for reducing improper Medicaid payments
By
Lois A. Bowers
Apr 18, 2017
The Centers for Medicare & Medicaid Services should collaborate with states to develop a systematic approach for collecting and sharing promising practices through which states have identified and reduced...
Assisted living owner, three managers charged with defrauding Medicaid of more than $1 million
By
Lois A. Bowers
Mar 12, 2017
The owner and three managers of an Alaska assisted living home have been indicted after the home allegedly billed the state for more than $1 million in home- and community-based services that were not...
Government expects to recover $1.9 billion for 2016 Medicaid fraud cases
By
Lois A. Bowers
Mar 06, 2017
The federal government expects to recover almost $1.9 billion from Medicaid fraud, abuse and neglect cases that were settled or for which judgments were issued in 2016, according to new data released Monday.
Proposed changes would put Medicaid recipients, providers at risk, advocates say
By
Lois A. Bowers
Mar 05, 2017
Congress should reject proposed “radical structural changes” to Medicaid funding that would lead to reduced services for beneficiaries and payments for providers, 100 advocacy organizations,...
GAO recommends increased CMS oversight of Medicaid LTSS payment rates
By
Lois A. Bowers
Feb 08, 2017
In the wake of findings detailed in a new report from the Government Accountability Office made public on Wednesday, the Centers for Medicare & Medicaid Services will take steps to ensure that states have...
Data issues complicate Medicaid oversight, GAO says
By
Lois A. Bowers
Feb 06, 2017
The incomplete, inaccurate and late reporting of Medicaid expenditure and utilization data makes it difficult for the Centers for Medicare & Medicaid Services to ensure that payments are proper and that...