Medicaid

How healthcare agencies can tackle fraud, waste and abuse with RPA

by • 2 months ago

A new report discusses advances in automation to help public healthcare organizations tackle a backlog of claims from the pandemic, and protect from fraud and waste.

'Whole person care' works for outgoing inmates in California county

by • 2 months ago

Research into a program in Riverside County, California, shows that 12-month recidivism rates declined 65% among those who attended just one behavioral health appointment.

Data errors cost Minnesota $76 million in Medicaid funding

by • 1 year ago

A recent audit found data errors in Minnesota's Medicaid system cost the state $76 million in missed federal funding and may have also led the state to overpay insurance companies.

Colorado's new benefits management system has glitches

by • 2 years ago

The old system being replaced, which some blamed for the death of a 9-year-old boy, also had glitches.

Faulty Medicaid system paid out $11 million to deceased residents in Rhode Island

by • 2 years ago

The state is also struggling to recover $60 million in double payments made to nursing homes while the eligibility system was offline.

$85 million in Medicaid errors? Louisiana Health Dept. says new system will help

by • 2 years ago

The department says a $70 million system built by Deloitte will integrate new data that can be used to ensure wages are verified quarterly.

Nevada expects to cut costs with new health insurance exchange site for 2019

by • 3 years ago

The state is aiming to eliminate more than million in fees paid to the federal government for access to HealthCare.gov.

Maryland recoups $81 million from botched Medicaid system upgrade

by • 3 years ago

A court battle with its technology vendor has ended in a settlement payout to the state's health department.

Colorado's plagued medical benefits system may finally get the upgrades it needs

by • 3 years ago

New upgrades could put an end to a legacy computer system that has cost the state more than 30 million in improper payments.

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