Auditor questions data in Medicaid program review

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Posted: Aug 18, 2014 10:05 AM by Melinda Deslatte
Updated: Aug 18, 2014 10:05 AM
Source: Associated Press

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Topics: Medicaid, audit, Legislative Auditor, report, managed-care networks, health care

BATON ROUGE - The Legislative Auditor's office is raising questions about the usefulness of an annual report evaluating private managed-care networks handling health services for Louisiana Medicaid patients.

In a review released Monday, the auditor's office says the report that the Department of Health and Hospitals provided to lawmakers in January lacked required financial information and presented rosy performance reviews not supported by data.

Under a 2013 law, the department is required to submit a yearly report about the performance of Gov. Bobby Jindal's Bayou Health program, an insurance-based model that covers two-thirds of Louisiana's Medicaid recipients, mostly pregnant women and children.

The auditor's review says the DHH report included inconsistencies and used primarily self-reported data from the managed-care organizations.

DHH disagreed with the auditor's findings, saying it provided the best data possible.

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