"We are now seeing the impact of provisions in the Affordable Care Act that help us move away from the traditional 'pay and chase' approach to a more proactive approach designed to prevent fraud before..."
"We also need to ensure that the public and private sectors are collaborating, because we know that schemes that affect programs like Medicare and Medicaid often are also perpetrated against private pa..."
"We cannot rest on our laurels and be satisfied with the current successes in fraud fighting."
"the history certainly has been of a predominantly pay-and-chase approach, and that is what the Fraud Prevention System is changing"
"I haven't seen one indication that CMS truly knows how much it loses each year much less whether a majority of these payments are not usually fraudulent."
"Again, credit card companies figured this out 25 years ago, and it seems like we ought to be farther along than we are now."
"These are necessary and non-negotiable costs that we all want to encourage health plans to incur."
"The MLR regulations' treatment of fraud prevention expenses works at cross purposes with efforts by the Federal Government."
"Now, there remains significant interest in Congress about antifraud efforts in Medicare and Medicaid."
"Finally, members from both sides of the aisle have stated that Congress should promote policies that encourage young people to purchase health coverage."
"Thank you, Mr. Chairman."
"The subcommittee will come to order."