Medicaid And Medicare

Referral fees OK, says OIG

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A long-term care provider that requested clearance for a system of paying an agency to refer patients is in the clear.

Better Medicaid managed care oversight needed to protect providers serving high-risk populations: OIG

Better Medicaid managed care oversight needed to protect providers serving high-risk populations: OIG

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States are not doing a good job of monitoring how Medicaid managed care enterprises handle providers serving high-risk populations, according to a new government report. Five of six states evaluated in a recent study were not monitoring MCEs' compliance with a federal nondiscrimination provision, the Department of Health and Human Services Office of the Inspector General found.