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Medicaid Program Integrity: Increased Oversight Needed to Ensure Integrity of Growing Managed Care Expenditures
Medicaid Program Integrity: Increased Oversight Needed to Ensure Integrity of Growing Managed Care Expenditures
 
Our Price: $20.00
By Carolyn L. Yocum (au)
Year: 2014
Pages: 34
Binding Paperback
ISBN 978-1-4578-5593-1

Product Code: 1457855933

Description
 
In fiscal year 2013, the Medicaid program covered about 71.7 million individuals at a cost of $431.1 billion, of which the Centers for Medicare & Medicaid Services (CMS) estimated that $14.4 billion (5.8 percent) were improper payments. Multiple state and federal entities are involved in program integrity efforts, such as payment review, auditing, and investigating fraud. This report examined how these entities ensure comprehensive Medicaid program integrity. It examines state and federal roles and responsibilities to identify potential (1) gaps in efforts to ensure Medicaid program integrity coverage; and (2) fragmentation, overlap, or duplication of program integrity efforts, and efforts to coordinate activities. Figure. This is a print on demand report.

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