Wednesday, July 05, 2006
GAO calls for greater Medicaid oversight
["US GAO sees Medicaid claims oversight weakness," Reuters, 3 July 2006.]
As if in response to recent controversy in Kansas over state-level Medicaid claims abuse, a new GAO report questions whether the Centers for Medicare and Medicaid Services is currently up to the task of preventing fraud and abuse:
The federal agency responsible for overseeing Medicaid has failed to address some weaknesses in preventing reimbursement claims abuse, the General Accountability office said in a new study released on Monday.
The report urged CMS to create permanent funding specialist positions and to determine what technology it needs to further enhance its ability to analyze data.
It also said CMS still lacks processes to adjust oversight activities for changes in risk, and has not followed through on the GAO's 2002 recommendation that it incorporate the Medicaid Statistical Information System database into its oversight of state claims and its analysis capabilities.
[Matthew Hisrich, "Medicaid funding tricks raise questions," Kansas Health blog entry, 14 April, 2004.
[Matthew Hisrich, First Things First: Kansas Medicaid Must Get Its House In Order Before Expanding Home-based Care, The Flint Hills Center for Public Policy, 20 August 2004.
[Matthew Hisrich, Staying the Course: Medicaid Reform in Kansas, The Flint Hills Center for Public Policy, 31 January 2004.]
As if in response to recent controversy in Kansas over state-level Medicaid claims abuse, a new GAO report questions whether the Centers for Medicare and Medicaid Services is currently up to the task of preventing fraud and abuse:
The federal agency responsible for overseeing Medicaid has failed to address some weaknesses in preventing reimbursement claims abuse, the General Accountability office said in a new study released on Monday.
The report urged CMS to create permanent funding specialist positions and to determine what technology it needs to further enhance its ability to analyze data.
It also said CMS still lacks processes to adjust oversight activities for changes in risk, and has not followed through on the GAO's 2002 recommendation that it incorporate the Medicaid Statistical Information System database into its oversight of state claims and its analysis capabilities.
[Matthew Hisrich, "Medicaid funding tricks raise questions," Kansas Health blog entry, 14 April, 2004.
[Matthew Hisrich, First Things First: Kansas Medicaid Must Get Its House In Order Before Expanding Home-based Care, The Flint Hills Center for Public Policy, 20 August 2004.
[Matthew Hisrich, Staying the Course: Medicaid Reform in Kansas, The Flint Hills Center for Public Policy, 31 January 2004.]
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