Medicaid served roughly 70 million people at $432 billion, while CHIP provided care for 8 million children with spending of $12 billion.
After looking at data from FY 2011, the MACPAC recommended Congress find ways to improve care for the 9.1 million people under the age of 65 who qualify for Medicaid on the basis of a disability and improve federal and state program fraud efforts in the Medicaid program.
For Medicaid-eligible persons with disabilities, MACPAC said Congress and HHS should find new approaches to provide quality care for this population, as a majority relied on Medicaid as their only source of health coverage.
MACPAC also reviewed several federal and state agencies that oversee the integrity of each state’s Medicaid and CHIP program, including HHS, the Department of Justice, the Office of Inspector General, state Medicaid Fraud Control Units and others. Lu Zawistowich, executive director of MACPAC, said success in controlling Medicaid and CHIP fraud “depends on effective coordination and collaboration among the various players,” and analytic tools need to be improved and shared to help states detect and stop fraud and abuse.
More Articles on Medicaid and CHIP:
How Should Hospitals Work Around Medicaid Payment Cuts This Year?
Medicaid, CHIP Eligibility Policies Remained Stable in 2011
CMS: Satisfaction Rates for Medicaid, CHIP Higher Than Employer Coverage
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