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Medicare, Medicaid stay on 'high risk' list

from McKnight's

Medicare overpayment issues and poor Medicaid data are two of many problems keeping long-term care's biggest payers on a government watch list of “high-risk” programs, according to a new General Accountability Office report. Improvement will come only through much improved management and oversight, the GAO said. For Medicare, for example, that means improvements in beneficiary use of services and quality of care, and physician incentive payments and profiling. According to GAO researchers, Medicare reported an estimated $60 billion in improper payments in 2014. more


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