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Medicaid Fraud, Waste And Abuse Curator: Volume 1.pdf

Medicaid-FWA-Curator-Vol-1.pdf

Preview of Medicaid Fraud, Waste and Abuse Curator: Volume 1

🔗 Source: mostlymedicaid.com

📊 Size: 1.62 MB

👤 Author: The Momma and The Daddy

⬇️ Downloads: 24

Summary

- California Medicaid Waste:
- California's Medicaid program (Medi-Cal) made $4 billion in questionable payments to insurers and providers between 2014 and 2017 due to enrollment discrepancies.
- Key findings:
- 453,000 people were potentially ineligible for Medi-Cal during this period.
- $3 billion went to managed-care plans, and $1 billion to fee-for-service providers.
- A deceased person in Los Angeles County received $383,635 over four years.
- A woman in Los Angeles received $1 million in Medi-Cal payments despite being deemed ineligible in 2016.
- The California Department of Health Care Services agreed with the audit findings and plans to implement recommended changes, but may not meet the June 2019 deadline.

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Description

This issue covers Medicaid waste, fraud, and abuse, including questionable payments to California's Medicaid insurers and providers, and an Ohio Medicaid audit revealing $90.5 million in payments to deceased individuals.

Technical Information

File Format: PDF
File Size: 1.62 MB
Pages: 39
Language: EN
Author: The Momma and The Daddy
Total Downloads: 24
Last Updated: 2 weeks ago

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