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...
The expansion of Medicaid under the Affordable Care Act has negatively affected vulnerable beneficiaries such as the elderly, according to a witness testifying Tuesday at a House Energy and Commerce Subcommittee...
GAO targets improper Medicare, Medicaid payments
By
Lois A. Bowers
Jan 17, 2017
Reducing improper payments made from the Medicare and Medicaid programs is a big step that the federal government can take to improve the country’s long-term fiscal health without legislative action,...
Medicaid spent $776 million on HCBS waivers for older adults in 2014, CMS says
By
Lois A. Bowers
Nov 13, 2016
The Medicaid program spent almost $776 million on 1915(c) waivers to cover home- and community-based services for older adults in fiscal year 2014, according to a new report from the Centers for Medicare...
45% of Medicaid LTSS beneficiaries are older adults
By
Lois A. Bowers
Nov 10, 2016
Forty-five percent of the more than 4.8 million beneficiaries of Medicaid long-term services and supports were aged 65 or more years in 2012, according to a new report issued by the Centers for Medicare...