Medicaid directors want better anti-fraud teamwork

NEWS IN BRIEF — Posted Nov. 5, 2012

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Improved state-federal collaboration would strengthen Medicaid program integrity efforts, the National Assn. of Medicaid Directors wrote in an Oct. 5 letter to Marilyn Tavenner, acting administrator for the Centers for Medicare & Medicaid Services.

The letter discussed NAMD’s concerns that communication problems between CMS and the states were undermining the success of anti-fraud efforts. One example given was the fact that the Dept. of Health and Human Services, in launching a public-private effort to crack down on health care fraud, failed to consult with state Medicaid programs on the planning and launch of the partnership.

“States and the federal government must work together to build a robust program integrity framework that includes Medicaid,” the letter said. In a March report, NAMD issued a series of recommendations on how to improve Medicaid program integrity initiatives, such as clarifying federal and state responsibilities, and improving communication and collaboration between federal and state entities on these types of initiatives.

In the letter, NAMD asked for CMS guidance on making specific improvements to program integrity efforts, such as working with states to develop a screening and verification program for health care professionals “built on a collaborative structure that shares information and avoids duplication.”

Note: This item originally appeared at

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story