Senate Finance Committee Releases Report on Waste, Fraud and Abuse in Medicare and Medicaid
Monday, February 11, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On January 31, a bi-partisan group of six current and former members of the Senate Finance Committee released a report outlining recommendations on ways to improve federal efforts to fight waste, fraud and abuse in the Medicare and Medicaid system.

More than 160 stakeholders in the health care community submitted 146 white papers totaling 2,000 pages of new solutions to combat Medicare and Medicaid fraud and abuse. The respondents fell into five general groups including: providers and insurers, suppliers, contractors, beneficiary advocacy groups, anti-fraud entities and other organizations such as think tanks and medical licensing boards. About 50 percent of the white papers submitted were from providers and insurers.

The staff evaluation of the white papers found five broad themes: improper payment, beneficiary protections, audit burden, data management, and enforcement. Improper payment was the most frequent theme, with 54 percent of papers discussing the issue.  Nearly all the papers submitted provided recommendations, which ranged in specificity.

This report is the outcome of a letter sent to the health care community from members of the Senate Finance Committee on May 2, 2012 soliciting solutions and suggestions in the form of White Papers on preventing and combating waste, fraud and abuse in the federal health care programs. To read VNAA’s letter to the Senate Finance Committee members, please click here.

Senators plan to work with Congressional colleagues, the Government Accountability Office (GAO), the Department of Health and Human Services Office of Inspector General and interested stakeholders, including VNAA, to develop a more detailed list of recommendations and potential legislative actions.

To read the full overview report, please click here.
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