Becker's Healthcare November 30, 2023
Fourteen states gave managed care organizations payments for Medicaid enrollees for months after beneficiaries had died, a series of HHS Office of Inspector General audits found.
In a report published Nov. 24, the OIG said the 14 audits uncovered an estimated $249 million in improper capitation payments for deceased enrollees. The audits were conducted for periods from 2009 to 2019.
The payment errors occurred for multiple reasons, according to the OIG’s report. Eleven of the 14 states did not always identify and process enrollees’ death information, and several did not interface with federal data sources that identify individuals’ dates of death.
...Today's Sponsors
Today's Sponsor