- Congressional bodies, including the Senate and House, are considering major cuts to Medicaid reimbursements through new legislation.
- Lawmakers introduced the Better Care, Better Cost Act (Senate Bill 7), requiring states to consider Medicaid performance.
Senators Demand Tougher Standards for Medicaid Contractors
What happened
A group of Democratic senators is demanding that the federal agency overseeing Medicaid institute tougher standards for government contractors that run complex computer systems. This demand followed an inquiry into companies, including Deloitte, General Dynamics Information Technology, Gainwell Technologies, and Conduent, which are paid to build or run eligibility systems for safety net health coverage. The senators noted that malfunctions in these systems can cost millions of taxpayer dollars and take years to fix.
From cbsnews.com
Why it matters
The senators highlighted that administrative errors in these eligibility systems carry life-and-death consequences for sick Americans. The push for stricter standards relates to broader legislative efforts, including the Better Care, Better Cost Act, which requires states to consider Medicaid performance.
Lawmakers have introduced the Better Care, Better Cost Act (Senate Bill 7), which requires states to consider Medicaid performance, amid broader discussions about major cuts to Medicaid reimbursements.
From cbsnews.com
Who's involved
- DemocratsGroup of senators demanding tougher standards for Medicaid contractors.
- Department of Health & Human ServicesFederal agency overseeing Medicaid.
- Texas Health and Human Services CommissionState government agency potentially required to implement tougher standards for contractors.
Possible ripples
Who this could reach next, traced step by step from the reporting. Possibilities worth considering, not forecasts.- Tougher Medicaid standards may increase Texas Health and Human Services Commission costsTougher Medicaid standards could increase Texas Health and Human Services Commission costsPossible
- The Senate may push for mandatory standards for Medicaid contractorsThe Senate may push for mandatory standards for Medicaid contractorsPossible
- Senators may push CMS to mandate tougher standards for Medicaid contractorsCMS may be pressured to establish mandatory standards for Medicaid contractors.Possible
- Senators' demands for stricter Medicaid contractor standards challenge CongressCongress may face pressure to mandate stricter standards for Medicaid contractorsPossible
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The entities involved
Related events
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- Congress is being urged to pass the Same Care, Lower Cost Act, while Medicare policy advises on reform.
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- Political goals are aiming to lower the Medicare eligibility age in New York.