MACPAC Analyzes Fraud, Waste, and Abuse Measurement in Medicaid Program Integrity
The Medicaid and CHIP Payment and Access Commission (MACPAC) released an issue brief examining fraud, waste, and abuse in Medicaid using government data sources. The brief defines these program integrity concerns, reviews measurement methodologies, and provides an overview of federal and state program integrity responsibilities. The analysis identifies documented instances of integrity issues across the Medicaid program. This resource offers Medicaid agencies and managed care organizations a framework for understanding program integrity risks and measurement approaches as they design compliance and oversight strategies.
MACPAC's framework helps state agencies and health plans benchmark their program integrity efforts against documented fraud, waste, and abuse patterns and assess whether their measurement and oversight approaches align with federal expectations.
Managed Care · Finance
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