GAO

Increased 'bed taxes' on nursing facilities warrant stricter federal oversight, report states

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States have been increasingly taxing skilled nursing facilities and other healthcare providers to fund Medicaid in recent years, and federal authorities should look more closely at this trend, according to a government report released Tuesday.

Medicaid paying 32% less than Medicare Part D for medications

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Medicaid is paying the lowest average price for 78 high-use and high-expenditure brand-name and generic drugs, a new federal report finds.

GAO: 14% of nursing home residents on Medicaid have more than $100,000 in assets

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Most nursing home residents on Medicaid have financial resources that were not counted toward their eligibility for the government insurance program, but few have substantial assets tucked away, according to a new government report.

Federal government needs to boost Medicaid managed care oversight, GAO says

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The government's oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released report from a watchdog agency.

Medicare claims reviews should be more streamlined, government report states

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The government could improve Medicare oversight by creating a more uniform and unified post-payment review system, according to a report from federal officials.

GAO: Clean up claims reviews

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Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.

GAO report calls for more consistency investigating Medicare post-payment claims

GAO report calls for more consistency investigating Medicare post-payment claims

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Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.

GAO: Review process rushed

GAO: Review process rushed

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Medicare Administrative Contractors started a manual review process for outpatient therapy claims too quickly, setting the stage for chaos in late 2012, a government review has revealed.

Replace FMAP with Medicaid funding system that better accounts for seniors, government report says

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The federal government could distribute Medicaid dollars to states more effectively by looking at data that better reflects the needs of nursing home residents and workers, according to a new report from the Government Accountability Office.

Fraud-fighting efforts not much to brag about

Fraud-fighting efforts not much to brag about

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In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.

GAO: Medicaid eligibility screening for long-term care is inconsistent across states

GAO: Medicaid eligibility screening for long-term care is inconsistent across states

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The extent to which states conduct asset verification checks on those seeking Medicaid coverage for long-term care varies greatly by state, a government report finds.

States see spike on supplemental Medicaid spending

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States spent $9 billion more on supplemental Medicaid payments in 2010 than it did four years previously, according to a government investigation requested by Congress.

GAO: States still need to meet critical guidelines in implementing Medicaid expansion

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Even the states that have committed to expanding their Medicaid programs under the Affordable Care Act want additional guidance from the government, a new federal report finds.

Medicaid providers with unpaid taxes should be barred from federal reimbursement, lawmakers say

Medicaid providers with unpaid taxes should be barred from federal reimbursement, lawmakers say

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The federal government should bar healthcare providers with large amounts of unpaid taxes from receiving Medicaid funds, incensed lawmakers said Thursday following the release of a government report.

Senators demand more data on Medicare fraud prevention efforts

Senators demand more data on Medicare fraud prevention efforts

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A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.

House committee puts Medicare audit contractors on the hotseat

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Lawmakers are asking Medicare contractors for more information about how they go about identifying and reporting potentially fraudulent payments to the Centers for Medicare & Medicaid Services.

Congress asks GAO to investigate Medicare and Medicaid antifraud contractors

Congress asks GAO to investigate Medicare and Medicaid antifraud contractors

Following a series of troubling reports about the success rate of antifraud contractors, lawmakers are asking the Government Accountability Office to study Medicare and Medicaid audit programs.

Letter: Assisted living group pushes for industry involvement to prevent 'pension poaching'

Letter: Assisted living group pushes for industry involvement to prevent 'pension poaching'

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Collaboration between senior living operators and the Veterans Administration is necessary to prevent the financial exploitation of elderly veterans, a leading provider group said Wednesday.

Regulators have tightened up screening efforts for Medicare providers

Regulators have tightened up screening efforts for Medicare providers

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Regulators have strengthened Medicare provider enrollment and toughened fraud prevention efforts, but it's too early to know how effective the initiatives will be, a new report reveals.

Reports forecast Medicare funding boost, dim overall outlook

Reports forecast Medicare funding boost, dim overall outlook

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The Affordable Care Act will help Medicare save over $200 billion through 2016, according to government actuaries. But questions as to Medicare's long-term solvency remain, another report from Social Security and Medicare Boards of Trustees states.

Unsustainably high healthcare costs paint bleak long-term budget outlook

Unsustainably high healthcare costs paint bleak long-term budget outlook

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Passage of the Affordable Care Act and the Budget Control Act of 2012 improved the budget outlook, but neither are enough to fix the gap between spending and revenue, according to a report by the Government Accountability Office.

Report: CMS needs to improve oversight of nursing home quality program

Report: CMS needs to improve oversight of nursing home quality program

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The Centers for Medicare & Medicaid Services needs to make serious improvements in the tools it uses to evaluate the quality of nursing home care, a federal report reveals.

Report: Correcting Medicare Advantage overpayments could save billions

Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.

Report: Correcting Medicare Advantage overpayments could save billions

Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.

GAO: Congress should increase federal Medicaid matching rates

Congress should consider temporarily increasing Medicaid's Federal Medical Assistance Percentage (FMAP) formula to help beleaguered state budgets, a new report suggests.

Report calls for CMS to get tougher with nursing home complaint investigations

Report calls for CMS to get tougher with nursing home complaint investigations

The Government Accountability Office has released a report calling on the Centers for Medicare & Medicaid Services to implement more oversight into nursing home complaint investigations.

GAO: States to spend most of initial FMAP increase

State Medicaid programs are on track to spend roughly 94% of additional Medicaid funding from the 2009 stimulus package, according to a new report from the Government Accountability Office.

GAO report says hundreds more deficient nursing homes should be added to watch list

GAO report says hundreds more deficient nursing homes should be added to watch list

Nearly 450 nursing homes should be added to the federal government's Special Focus Facility (SFF) program, which monitors consistently problematic nursing homes, say the authors of a new report from the Government Accountability Office.

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