Effective Management of Public Resources
MassHealth Audit Finds Over a Half Billion Dollars in Improper Payments and Potential Savings
Our report on MassHealth’s managed-care program found the state unnecessarily spent $233 million by paying medical providers directly when the medical services should have been paid for by its affiliated managed-care organizations (MCOs). The audit also found that the agency could have additionally saved up to $288 million if its MCO contracts had been more specific as to whether certain services should have been covered. The dollar amounts represent the largest monetary value of audit findings uncovered in a State Auditor’s report in 27 years. Click here to learn more.
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