Nancy Feldman

Apr 11, 2013

Legislators voice dismay over management of state’s Medicaid rates

David Mosley has more than two decades of experience scrutinizing public health programs at the state and federal level. In all of that time, he's never encountered a state that did not collect paid claims data to provide a basis for setting its Medicaid rates.

Mar 8, 2013

DHS Medicaid audit points to problems

A preliminary audit of the state’s Medicaid rates released on March 1 determined that they were “actuarially sound.” That’s the finding that Minnesota Department of Human Services Commissioner Lucinda Jesson repeatedly stressed during a phone call with reporters the day the report was released.

Jul 20, 2012

Semantics or fraud? Congressional investigators probe UCare’s $30 milllion payment to state

Congressional investigators continue to ask pointed questions about Minnesota’s Medicaid program. At issue is a $30 million payment that UCare -- one of the four nonprofit health plans that primarily run the state’s Medicaid program -- agreed to make to the state last year. But lurking in the background are larger questions about the state’s overall methodology for tapping federal funds to [...]

Mar 14, 2012

Senate sinks HMO audit bill

Senate Health and Human Services Committee Chairman David Hann promised to hold a hearing on a bill requiring independent annual audits of the health plans that administer the state’s Medicaid program. On Monday he followed through on that promise.