The MLR regulations' treatment of fraud prevention expenses works at cross purposes with efforts by the Federal Governme...
Now, there remains significant interest in Congress about antifraud efforts in Medicare and Medicaid.
These are necessary and non-negotiable costs that we all want to encourage health plans to incur.
Again, credit card companies figured this out 25 years ago, and it seems like we ought to be farther along than we are n...
I haven't seen one indication that CMS truly knows how much it loses each year much less whether a majority of these pay...
the history certainly has been of a predominantly pay-and-chase approach, and that is what the Fraud Prevention System i...
We cannot rest on our laurels and be satisfied with the current successes in fraud fighting.
We also need to ensure that the public and private sectors are collaborating, because we know that schemes that affect p...
We are now seeing the impact of provisions in the Affordable Care Act that help us move away from the traditional 'pay a...
Fighting fraud is critical to both of these and critical to being responsible stewards of taxpayers' dollars, an issue w...
Medicare has been on the Government Accountability Office's high-risk list continuously since GAO began designating prog...
I have dedicated much of my career in Congress to improving the quality and efficiency of both the Medicare and Medicaid...
How can we protect the most vulnerable in our society if we don't protect the integrity of the system that was intended ...
I look forward to hearing from our GAO witnesses what areas in the Medicare and Medicaid programs are most vulnerable to...
In 2012, Medicare spent approximately $555 billion caring for more than 49 million beneficiaries.
According to data from the Centers for Medicare and Medicaid Services, in 2011, Medicare spending accounted for 21 perce...
I appreciate very much the opportunity to address that point.
I believe we are totally cooperative with all the interviews they have requested and all of their written questions.