爱荷华州波尔克县得梅因市州长雷诺兹10月29日发布医疗补助欺诈消除专案组最终报告:提出优化欺诈管控部门等五项主要建议

爱荷华州州长金·雷诺兹10月29日发布了州长医疗补助欺诈消除专案组的最终报告,提出五项主要建议:优化爱荷华州医疗补助欺诈管控部门、改善医疗补助欺诈公众知晓与举报渠道、加强高风险医疗补助服务的质量与项目诚信、最大化技术与数据分析的应用、加强管理式医疗组织网络管理。报告指出,许多建议可在现有权限下落实,部分则需要拨款或立法配合。专案组成员包括卫生与公众服务部首席副主任拉里·约翰逊、爱荷华州医疗补助主任李·格罗斯曼、检查申诉与许可部临时主任亚伦·巴克、州医疗补助欺诈管控部门主任杰里米·英格拉姆、公共安全部专员史蒂夫·贝恩斯、管理部主任克雷格·保尔森、州长办公室的达克斯·奥伯罗伊特,以及来自三家管理式医疗组织——Wellpoint爱荷华、爱荷华全保和莫利纳爱荷华医疗——的代表各一人。雷诺兹表示,她期待与专案组和立法机构合作落实报告中的建议。
Iowa Governor Reynolds Releases Medicaid Fraud Elimination Task Force Final Report on Oct. 29 with Five Main Recommendations
Iowa Governor Kim Reynolds released the final report of the Governor's Medicaid Fraud Elimination Task Force on October 29, offering five main recommendations: strengthen the state Medicaid Fraud Control Unit, improve public awareness of and reporting channels for Medicaid fraud, reinforce quality and program integrity for high-risk Medicaid services, maximize the use of technology and data analytics, and strengthen managed-care organizations' network management.
The report notes that many recommendations can be carried out under existing authority, while some require appropriations or legislation. Task force members include Larry Johnson, chief deputy director of the Department of Health and Human Services; Lee Grossman, the state Medicaid director; Aaron Baack, interim director of the Department of Inspections, Appeals and Licensing; Jeremy Ingram, director of the state Medicaid Fraud Control Unit; and Steve Bayens, commissioner of the Department of Public Safety.
来源:GSM·美国(原文链接)
图片来源:图:爱荷华州议会大厦(得梅因)。Phil Roeder 摄,CC BY 2.0,经 Wikimedia Commons。 / The Iowa State Capitol in Des Moines. Photo by Phil Roeder, CC BY 2.0, via Wikimedia Commons.

