“Despite receiving billions of dollars in taxpayer money, Medicaid insurers are lax in ferreting out fraud and neglect to tell states about unscrupulous medical providers, according to a federal report released Thursday.”
“The U.S. Health and Human Services’ inspector general’s office said a third of the health plans it examined had referred fewer than 10 cases each of suspected fraud or abuse to state Medicaid officials in 2015 for further investigation…”
“Last year, new Obama-era rules went into effect that seek to strengthen fraud-detection efforts in Medicaid managed care. For now, the Trump administration has endorsed those changes.”
“Last month, the administration said they would monitor state compliance and conduct more audits…” Read the full article here.
Source: Medicaid Fraud Is Flying Under Insurers’ Radar – By Chad Terhune, July 13, 2018. Kaiser Health News.
