GAO urges action to prevent Medicaid fraud

There are significant deficiencies in the Medicaid program’s ability to detect and prevent fraud, waste and abuse, according to a report from the Government Accountability Office, which outlines key challenges states face in maintaining program integrity.

As Medicaid continues to expand in scope, particularly with recent changes tied to the COVID-19 public health emergency, these findings raise concerns about the sustainability of the program and the effectiveness of oversight mechanisms, according to the report.

WHAT’S THE IMPACT

GAO identified systemic issues that impair Medicaid’s ability to root out fraudulent activities. According to...