The Government Accountability Office and the federal advisory panel on Medicaid reiterated their calls Tuesday for states to better document and report the extra payments they make to providers that fall outside the federal disproportionate-share hospital programs.
The lack of transparency, the GAO says, limit the federal government's ability to make sure the payments are efficient and actually support Medicaid beneficiaries. In one analysis, the agency found that supplemental payments to about 500 hospitals in 39 states exceeded the costs of caring for Medicaid patients by $2.7 billion.
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