“The Centers for Medicare & Medicaid Services launched several initiatives on Tuesday aimed at cutting down on fraud and waste in Medicaid.”
“The programs, Administrator Seema Verma told reporters at a briefing, are part of the third pillar of the agency’s blueprint to reform Medicaid: a focus on integrity and accountability.”
“CMS will conduct audits of state programs to assess whether Medicaid beneficiaries are enrolled in the correct eligibility tiers and ensure that programs are reporting accurate medical loss ratios, Verma said. It plans to begin those reviews this summer and will include both expansion and nonexpansion states…”
“In addition to taking steps to identify and cut down on wasteful or fraudulent spending, CMS is planning to bolster its data-sharing programs with states…” Read the full article here.
Source: CMS launches slate of initiatives aimed at curbing fraud, waste in Medicaid – By Paige Minemyer, June 26, 2018. FierceHealthcare.
