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爱荷华州Medicaid欺诈消除工作组发布最终报告:五项建议强化稽查与项目完整性

2026-10-29 · 各州 · GSM News

爱荷华州州长金·雷诺兹(Kim Reynolds)办公室10月29日发布医疗补助(Medicaid)欺诈消除工作组的最终报告。该工作组由州长2026年7月1日的行政令设立,由州总检察长布伦娜·伯德(Brenna Bird)担任主席。

报告提出五项建议:优化 Medicaid 欺诈控制单位的运作;改进公众意识与举报渠道;强化高风险 Medicaid 服务的质量与项目完整性;最大化运用技术与数据分析;以及强化对管理式医疗组织(MCO)的网络管理。

州长办公室表示,部分建议需要州议会拨款或立法配合才能落实。Medicaid 是由联邦与州共同出资、面向低收入人群的医疗保障项目,欺诈与不当支付长期是各州稽查重点。

Iowa Medicaid Fraud Elimination Task Force Issues Final Report With Five Recommendations

Iowa Governor Kim Reynolds' office on October 29 released the final report of the Medicaid Fraud Elimination Task Force. The task force was created by the governor's executive order of July 1, 2026, and is chaired by Attorney General Brenna Bird.

The report makes five recommendations: optimizing the Medicaid Fraud Control Unit; improving public awareness and reporting channels; strengthening quality and program integrity for high-risk Medicaid services; maximizing the use of technology and data analytics; and strengthening network management of managed care organizations (MCOs).

Some of the recommendations will require appropriations or legislation, the governor's office said. Medicaid is the joint federal-state health coverage program for low-income residents, and fraud and improper payments have long been an enforcement focus for states.

来源:GSM·美国(原文链接)

图片来源:图:位于得梅因的爱荷华州议会大厦。dwhartwig 摄,CC BY 2.0,经 Wikimedia Commons。 / The Iowa State Capitol in Des Moines. Photo by dwhartwig, CC BY 2.0, via Wikimedia Commons.

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