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.
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.
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 [...]
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.
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