GAO Tag

MEDICAID IMPROPER PAYMENTS $50.3 BILLION SYRTIS SOLUTIONS CMS FACT SHEET

29 Nov MEDICAID IMPROPER PAYMENTS TOTAL $50.3 BILLION

Medicaid improper payments have caused the healthcare program to be on the Government Accountability Office's High-Risk List since 2003. The GAO's list identifies government-funded programs that involve substantial resources and provide critical services to the public that are vulnerable to fraud, waste, abuse, and mismanagement....

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Syrtis Solutions GAO High-Risk List Medicaid Improper Payments

30 May IMPROPER PAYMENTS KEEP MEDICAID ON GAO’S HIGH-RISK LIST

The Government Accountability Office recently published its updated High-Risk List. The update is part of the biennial High-Risk Series started in 1990 that identifies government operations vulnerable to fraud, waste, abuse, and mismanagement. The recent report marks the twentieth consecutive year that the Medicaid program...

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MEDICAID IMPROPER PAYMENTS 2021 $98.72 BILLION SYRTIS SOLUTIONS

29 Nov $98.72 BILLION IN MEDICAID IMPROPER PAYMENTS

Medicaid has been designated a high-risk program by the Government Accountability Office (GAO) since 2003 because of improper payments, poor quality data, and oversight challenges. Earlier this month the Department of Health and Human Services (DHHS) released its Agency Financial Report. In FY 2021 Medicaid’s...

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Medicaid High Risk List GAO Syrtis Solutions Program Integrity Oversight Improper Payments Cost Avoidance

29 Jun MEDICAID ADMINISTRATIVE CHALLENGES

Medicaid has been designated as a high-risk government program by the GAO since 2003. The Medicaid program has struggled over the past seventeen years due to poor fiscal oversight and other administrative issues. These challenges will be exasperated as the program expands and enrollment surges...

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GAO Medicaid Improper Payments Fiscal Oversight Syrtis Solutions

24 Jun MEDICAID IMPROPER PAYMENTS IN 2019

Improper payments in the Medicaid universe are payments full or partial claims payments paid in error or payments made to the wrong party. Improper payments have been a major problem for Medicaid in recent years and have cost the program's valuable resources.  Across all government programs, improper payments have...

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20 Sep Medicaid Third Party Liability Report From GAO

Identifying third party liability continues to be a challenge under the coordination of benefits for Medicaid plans. By law, plans are payers of last resort so whenever beneficiaries have other active coverage (OHI), those third parties should pay first. Currently, Medicaid plans are required to...

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23 Jul MEDICAID COSTS PUT EMPHASIS ON RECOVERY EFFORTS

In 1965, Title XIX of the Social Security Act established the Medicaid program to provide health care coverage to low-income individuals. Over time it has developed into one of the nation's largest payers for health care, covering one out of five Americans. In FY 2017,...

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