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Congressional Hearing on Medicare and Medicaid Fraud Prevention

Original title: MEDICARE AND MEDICAID PROGRAM INTEGRITY: COMBATING IMPROPER PAYMENTS AND INELIGIBLE PROVIDERS

Record date · January 1, 2017

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What This Bill Does

This document is a transcript of a 2016 House subcommittee hearing focused on identifying and reducing and ineligible providers within the Medicare and Medicaid programs. Officials from the Department of Health and Human Services and the Government Accountability Office testified on strategies to improve .

Why it matters

The hearing examines federal oversight mechanisms intended to prevent the loss of taxpayer funds to fraudulent or ineligible healthcare providers in the Medicare and Medicaid systems.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Medicare and Medicaid beneficiaries

These individuals rely on the programs for healthcare services, which are subject to integrity oversight.

Directly affected

Healthcare providers

Providers are subject to eligibility requirements and payment audits conducted by federal agencies.

Key Facts

  • The hearing was held on May 24, 2016, by the Subcommittee on Oversight and Investigations.
  • The primary focus was addressing improper payments and the presence of ineligible providers in Medicare and Medicaid.
  • Testimony was provided by representatives from the HHS Office of Inspector General, the GAO, and the Centers for Medicare and Medicaid Services.
  • The hearing took place in the Rayburn House Office Building, Washington, D.C.

Frequently Asked Questions

What was the purpose of this hearing?
To investigate how the government identifies and stops and ineligible providers from participating in Medicare and Medicaid.
Who testified at the hearing?
Officials from the Department of Health and Human Services (HHS) and the Government Accountability Office (GAO).

What else do you want to know?

News Coverage

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Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

cross reference100% confidence

Historical Oversight Record

This document serves as a formal record of 114th Congress oversight activities regarding healthcare spending.

Connected Entities

Shantanu Agrawal, U.S. Government Accountability Office, Seto J. Bagdoyan and 4 more
PersonShantanu Agrawal“Deputy Administrator, Centers for Medicare and Medicaid Services”Map →
OrganizationU.S. Government Accountability Office“Federal auditing agency”Map →
PersonSeto J. Bagdoyan“Director, Audit Services, GAO”Map →
OrganizationU.S. Department of Health and Human Services“Federal department overseeing Medicare and Medicaid”Map →
PersonAnn Maxwell“Assistant Inspector General, HHS”Map →
PersonDiana DeGette“Ranking Member of the Subcommittee”Map →
PersonTim Murphy“Chairman of the Subcommittee on Oversight and Investigations”Map →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz10
    Current news / social attention level

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