Jeff Lagasse
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%.
The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries.
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.
OIG identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered several recommendations.
The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care.
The rise in chronic disease among the elderly is driving up healthcare costs, putting pressure on Medicare and other payer systems.
Cardinal Health says the transaction is part of its effort to help community healthcare providers maintain their independence.
The move is part of a multiyear initiative to overhaul the system's approach to medical debt.
Most states ended the unwinding process with higher total Medicaid and CHIP enrollment than in February 2020.