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Medicaid: Opportunities for Improving Program Oversight

  Premium   Download PDF Now (25 pages)
Report Type Reports and Testimonies
Report Date April 12, 2018
Release Date April 12, 2018
Report No. GAO-18-444T
Summary:

Improper payments have continued to grow in the Medicaid program, despite efforts to reduce them. The federal-state health care program spent about $596 billion in FY2017, with an estimated $37 billion of federal spending going to improper payments—that's up from $29.1 billion in 2015.

This testimony, which is based on numerous GAO reports from the last 3 years, focuses on additional actions needed to improve oversight and help prevent improper payments. These include

Gathering more complete, accurate and timely data on beneficiary care

Implementing our prior recommendations related to oversight

Enhancing federal-state collaboration

The new Transformed Medicaid Statistical Information System collects more detailed information on Medicaid enrollees and their treatments. This map shows usage as of Nov. 2017.

This U.S. map shows that all but two states, Missouri and Wisconsin, were using the new system.

This U.S. map shows that all but two states, Missouri and Wisconsin, were using the new system.

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