In response to a Centers for Medicare & Medicaid Services (CMS) request for information on combatting fraud, waste, and abuse in federal health care programs, MACPAC outlined four areas where we have evidence-based findings and recommendations: identifying and eliminating ineffective or redundant program integrity (PI) activities and requirements, promoting high-value PI activities, barriers to PI in managed care, and payment and financing transparency. The letter presents background on Medicaid PI and an overview of the Commission’s findings and recommendations in these four areas.
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Medicaid and CHIP Payment and Access Commission