In November, CMS announced a new effort to curb unnecessary Medicare payments before they occur. The Recovery Audit Prepayment Review demonstration project, originally scheduled to start in January of this year, will now begin on or after June 1st. This demo project will allow Medicare RACs to evaluate certain types of claims that typically have [...]
The Medicaid Recovery Audit Contractor (RAC) program officially went into effect on January 1 of this year. In anticipation of the program rollout, Becker’s Hospital Review released an article outlining the three biggest aspects of the Medicaid RAC program that will affect hospitals. According to Becker’s, hospitals will now have to be mindful of ever-changing [...]
The Centers for Medicare and Medicaid Services (CMS) recently released a “frequently asked questions” document highlighting operational guidance and general information for states as they implement Medicaid RAC programs as mandated by Section 6411(a) of the Affordable Care Act (ACA). Answered questions cover a wide range of topics including deadline ramifications, conflict of interest issues, [...]
CMS is projecting a 40% increase in Medicaid lives from 2010 to 2015.
CMS projects a 60% increase in total Medicaid spend from 2010 to 2015.
Medicaid covered about 62 million lives and spent about $427 billion dollars in 2010.
Medicaid is expected to grow to over 82 million lives by 2019.
Medicaid spend has grown on average about 8% each year since program inception.
