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The Senate Republican Majority has unveiled plans that would
overhaul the state’s Medicaid fraud detection with the
goal of reducing corruption and waste and returning money
to taxpayers, according to a release from Senate Majority
Leader Joseph Bruno’s office.
“Senate legislation restructures the detection, investigation
and prosecution of Medicaid fraud in New York by strengthening
and streamlining the roles of the Health Department and Attorney
General, and creates a new Medicaid Inspector General to help
uncover fraud, waste and abuse,” the release said.
The release cited statistics from the U.S. General Accounting
Office that estimated between 10 and 30 percent of Medicaid
expenses are “diverted” through fraud. “New
York's anti-fraud efforts have recouped only a fraction of
that amount, and have lagged those of other states,”
the release added.
“In Federal Fiscal Years from 2001 to 2003, New York's
Medicaid Fraud Control Unit, which prosecutes fraud and recovers
illicit gains, posted 72 cents in recoveries for every dollar
spent by state and local governments on fraud recovery, according
to a review of filings with the Inspector general of the federal
Department of Health and Human Services,” the release
said.
“By contrast, Texas recouped five times its anti-fraud
spending; New Jersey regained six times its investment.”
The proposal would include the creation of a “state-of-the
art” computer fraud detection system and provide funding
and personnel to help local district attorneys investigate
and prosecute fraud cases not handled by the Attorney General.
The release said the plan would mean additional savings to
taxpayers since detected fraud would return the money to local
governments who paid the bill initially.
"Our objective is to get $4 billion minimally ... without
impacting the quality of care," Senator Bruno told the
Associated Press. "It just gets the thieves and crooks
out of the system."
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