GAO Report Finds Medicaid Managed Care Vulnerable To Fraud
Posted 06/26/14
By Marlene Koury
A new study conducted by the US Government Accountability Office ("GAO") shows that the Medicaid managed care program is vulnerable to serious health care fraud. The study found that the weakness is primarily due to the Centers for Medicare and Medicaid Services ("CMS") delegating managed care oversight to the states – but without providing them with clear guidance and resources to combat...