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With a growing budget, higher enrollment numbers, and a rising improper payment rate, Medicaid sustainability depends on better fraud prevention and more accountability from states, according to a report from the American Action Forum.
The state of Virginia spent between $21 and $38 million covering ineligible Medicare recipients in 2014, according to a state watchdog agency.
Lingering problems from the previous Texas Health and Human Services Commission administration have forced the state to offer reduced settlement packages to nearly 100 dental providers accused off overbilling Medicaid, according to The Houston Chronicle.
Questionable billing practices among California dentists who treat pediatric patients covered by Medicaid highlight the need for better oversight, according to a recent Department of Health and Human Services Office of Inspector General audit.
A pair of editorials last week took up the issue of Medicare and Medicaid fraud, waste and abuse, signifying these problems are becoming a greater focus of public attention and debate.
Press Releases
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