Under pressure, NY to soften tough Medicaid audits
Gov. George E. Pataki and the State Legislature created the Office of the Medicaid Inspector General to curb billions of dollars in fraud and misspending by healthcare providers. But a backlash from the politically powerful healthcare industry has erased broad support for the crackdown. Last year, amid a crescendo of provider complaints of overzealous, nitpicking audits and unfair tactics, Gov. Andrew M. Cuomo quietly dismissed the state's first Medicaid inspector general, James G. Sheehan, and directed Mr. Sheehan's successor, James C. Cox, to collaborate with providers on changes to the agency's policies and auditing methods.
- Anthem Blue Cross, 7 CA Health Systems Create New Challenger, Business Model
- Data Points to Boom in Private HIX
- Few Winners Among MSSP Participants
- Technology Lights Up Health Innovation Forum
- EHR Systems 'Immature, Costly,' AMA Says
- Interstate Medical Licensure Effort Advances
- Hospitals and doctors fail patients by passing the buck on insurance rules
- Malnourishment 'Epidemic' Plagues Hospitals? Really?
- A new way insurers are shifting costs to the sick
- NCQA Releases Annual Health Plan Rankings