Improper Payments in State-Administered Programs: Medicaid
PURPOSE:
- To examine federal and state efforts to identify, prevent, and recover improper payments made through state Medicaid programs.
- To examine the federal-state relationship in Medicaid data-sharing, and evaluate fraud identification and prevention in Medicaid programs.
BACKGROUND:
- Improper payments have cost taxpayers an estimated $1.2 trillion since 2003. The Department of Health and Human Services (HHS) accounts for two-thirds of all federal improper payments. Medicaid contributes to approximately $36 billion of those improper payments.
- The lack of a systemized approach to available data between HHS and state partners has undermined efforts for improved oversight.
- Medicaid has appeared on the Government Accountability Office’s (GAO) High Risk List since 2003. The Centers for Medicare & Medicaid Services has worked to implement GAO recommendations to prevent or recover improper payments, but GAO has 34 open priority recommendations dating back to 2002.
Witnesses and testimonies
| Name | Title | Organization | Panel | Document |
|---|---|---|---|---|
| Tim Hill | Deputy Director, Centers for Medicaid & CHIP Services | U.S. Department of Health and Human Services | Document | |
| Megan Tinker | Senior Advisor for Legal Review, Office of Counsel, Office of Inspector General | U.S. Department of Health and Human Services | Document | |
| Carolyn Yocom | Director of Health Care | Government Accountability Office | Document | |
| The Honorable Daryl Purpera | Legislative Auditor | Louisiana Legislative Auditor | Document | |
| Andy Schneider | Research Professor of the Practice, Center for Children and Families | Georgetown University | Document |