Improper payments and fraud continue to be persistent and costly hurdles for Medicaid and other government-funded programs. The GAO defines improper payments as payments that should not have been made or that were made in an incorrect amount (including overpayments and underpayments) under statutory, contractual,...
A recent audit by the U.S. Government Accountability Office reveals that the government suffered a significant loss of $236 billion in 2023 as a result of improper payments. Medicaid and Medicare alone accounted for 43% of these payments, with Medicaid's improper payments reaching $50.3 billion....
Medicaid improper payments have caused the safety net program to be on the Government Accountability Office's High-Risk List since 2003. The GAO's list identifies government programs that involve significant resources and offer vital services to the public that are vulnerable to fraud, waste, abuse, and...
The Government Accountability Office just recently released its updated High-Risk List. The update is part of the biennial High-Risk Series started in 1990 that identifies government operations susceptible to fraud, waste, abuse, and mismanagement. The recent report marks the twentieth consecutive year that Medicaid has...