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TexasTowelie

(112,142 posts)
Sun Apr 1, 2018, 08:50 PM Apr 2018

Audit questions Florida's anti-fraud efforts in Medicaid program

Florida’s Medicaid program has been rapped by auditors who questioned what the state got for millions of dollars spent with a company whose lobbyists included two former Republican House speakers and a former top health-care regulator.

State auditors additionally raised questions about how aggressive the Agency for Health Care Administration has been in trying to clamp down on fraud. The newly released audit said the agency’s Office of Medicaid Program Integrity never forwarded leads regarding potential fraudulent activity to 11 HMOs under contract with the state.

The audit released this week by the state auditor general questioned why Florida spent more than $5.5 million on an advanced data analytics system and renewed the vendor’s contract five times despite the company’s inability to include data on the majority of people enrolled in the Medicaid program.

Between 2014 and 2017, when SAS Institute was working for the state, the company listed a cadre of well-connected Tallahassee lobbyists, including former Agency for Health Care Administration Secretary and Medicaid director Tom Arnold and former House speakers Dean Cannon and Larry Cretul.

Read more: https://www.orlandoweekly.com/Blogs/archives/2018/03/30/audit-questions-floridas-anti-fraud-efforts-in-medicaid-program

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