“… Federal health agencies are trying to improve program integrity as the transition from fee-for-service to value-based care, largely due to the Affordable Care Act and other healthcare-focused legislation, changes the way healthcare is administered in this country and the number of citizens who interface with the government on healthcare-related matters increases…”
“Emblematic of this push, the Centers for Medicare and Medicaid Services recently announced a new Enhanced Medicaid Program Integrity Strategy based on three pillars of “flexibility, accountability and integrity.” It will include improved or new audits at the state level, more data sharing and collaboration on the use of data analytics, and public reporting of state performance on the Medicaid Scorecard. But how successful have HHS and other federal healthcare agencies been in implementing these strategies thus far?”
“KPMG and the Government Business Council surveyed 238 employees of federal health agencies, including the Veterans Benefits and Veterans Health Administrations, the Centers for Disease Control and Prevention, and the Centers for Medicare and Medicaid Services…”
“The survey found respondents perceived a number of challenges to effective program integrity…” Read the full article here.
Source: Federal healthcare agencies provide a new perspective on the challenges of achieving program integrity – By KPMG, July 25, 2018. WTOP.
