Department of Health Policy, School of Public Health and Health Services, The George Washington University
Health Care Costs; Legal
Measuring and reducing errors in Medicaid and CHIP is important, but the current program and the proposed regulatory provisions are flawed and misleading. Reducing errors should involve not only reducing payments that are issued in error, but reducing the rate at which eligible applicants are erroneously denied Medicaid coverage. CMS should give develop a better, more valid approach to error determination when there are cases of missing or insufficient provider or eligibility data and issue a new proposed rule that offers a new approach or approaches.
Ku, L. (2009). Do Medicaid and CHIP measure errors correctly? Washington, D.C.: Department of Health Policy, School of Public Health and Health Services, The George Washington University.