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Fuelman
Yesterday 1:30 pm
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WTF?

https://www.techtarget.com/healthcarepa ... r-payments

New analysis estimates $1.1T in Medicaid improper payments

Researchers from the Paragon Health Institute reached the $1.1 trillion value by including eligibility checks in their analysis, which they say CMS has "largely ignored" despite being "the biggest source of errors."

Under the Obama and Biden administrations, CMS did not include reviews of state eligibility determinations in their Payment Error Rate Measurement (PERM) audits, which have measured improper payments in Medicaid and CHIP since 2008. Improper payments are reimbursements from the government that do not meet statutory, regulatory or administrative requirements of the programs.
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