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Government lacks data to ensure proper oversight of Medicaid

Government lacks data to ensure proper oversight of Medicaid

August 22, 2018

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The federal government’s efforts to combat Medicaid fraud and overpayments, which totaled nearly $37 billion in fiscal year 2017, must be strengthened by improving its data oversight system.

That’s the message that the Government Accountability Office and lawmakers delivered on Tuesday before a Senate hearing.

The Medicaid program, which provides healthcare for more than 73 million low-income Americans, has been on the GAO’s “high risk list” since 2003 because of concerns about the adequacy of federal oversight and the program’s vulnerability to fraud. However, the Centers for Medicare and Medicaid Services has not been making progress in addressing the problem of fraud and overpayments, critics contend.

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