With all the discussion around waste, fraud and abuse in #Medicaid, I decided to pull together some useful resources to help folks understand what we know & how some information is being misinterpreted. First up @kff.org's 5 Key Facts www.kff.org/medicaid/iss... - ThreadSky

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acinthedc.bsky.social • 45 days ago

With all the discussion around waste, fraud and abuse in #Medicaid, I decided to pull together some useful resources to help folks understand what we know & how some information is being misinterpreted. First up @kff.org's 5 Key Facts https://www.kff.org/medicaid/issue-brief/5-key-facts-about-medicaid-program-integrity-fraud-waste-abuse-and-improper-payments/

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acinthedc.bsky.social•45 days ago

I believe this is the most recent CMS fact sheet on improper payments in Medicare, #Medicaid and the Marketplace https://www.cms.gov/newsroom/fact-sheets/fiscal-year-2024-improper-payments-fact-sheet

acinthedc.bsky.social•45 days ago

The CMS fact sheet clear states: "While fraud and abuse are one cause of improper payments, not all improper payments represent fraud or abuse. Improper payment estimates are not fraud rate estimates." #Medicaid

acinthedc.bsky.social•45 days ago

And finally a Gov't Accountability Office report on improper payments and fraud across the federal government https://www.gao.gov/products/gao-24-106608

acinthedc.bsky.social•45 days ago

Next up @georgetownccf.bsky.social has been writing about #Mediciad fraud & improper payments for years. See https://ccf.georgetown.edu/2019/11/20/medicaid-critics-misconstrue-payment-error-rate-measurement-to-undermine-popular-program/, https://ccf.georgetown.edu/2022/01/26/the-proper-use-of-medicaid-improper-payment-rates/, https://ccf.georgetown.edu/2025/01/10/the-truth-about-fraud-against-medicaid/

acinthedc.bsky.social•45 days ago

The latest piece from @georgetownccf.bsky.social directly addresses some of the specious claims made about #Medicaid improper payment rates https://ccf.georgetown.edu/2025/03/13/medicaid-fraud-the-improper-use-of-improper-payments/

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