VNAA Recommendations in Senate Finance Report on Waste, Fraud and Abuse
Tuesday, May 14, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On April 24, 2013 a bi-partisan group of six Senators from the Senate Finance Committee released recommendations on ways to combat waste, fraud and abuse in Medicare and Medicaid. Ranking Member Orrin Hatch (R-UT) and Chairman Max Baucus (D-MT) released the report in conjunction with Senators Chuck Grassley (R-IA), Ron Wyden (D-OR), and Tom Carper (D-DE). Five primary areas of recommendations were identified:
  • Improper payments;
  • Audit burden;
  • Enforcement;
  • Data management; and
  • Beneficiary protection.
This report is based on ideas submitted to the Senate Finance Committee in May of 2012.   VNAA and more than 146 organizations submitted comments to the Senate Finance last year and VNAA’s letter can be found here.

VNAA had at least seven specific recommendations for home health and hospice highlighted in the April report as follows:
  • Improper Payment:
    • Institution of a new provider moratorium
    • Use improved predictive models to target high risk providers
    • Require criminal background checks
  • Enforcement:
    • Re-examine and strengthen anti-kickback provisions
    • Require periodic survey oversight of all hospice
  • Beneficiary protection:
    • Reduce patient selection incentives in hospice
    • Create an interim hospice compare Website
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 transform recommendations into action items. 

To read the Senate Finance Committee press release and full overview report, please click here.
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