- 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.
- 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
|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|