Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
The growth of managed care over the past several years has changed fundamental aspects of the Medicare and Medicaid programs. This significant shift transformed how the Government pays for and covers health care for approximately 100 million enrollees. Due to the growth of managed care (in terms of enrollees and expenditures) and the significant differences between fee-for-service and managed care programs, OIG has developed a coordinated plan for managed care oversight. Learn more.
The OIG has designated oversight of managed care as a priority area. OIG has developed a strategy to align its audits, evaluations, investigations, and enforcement of managed care. The HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid – August 2023(11 pages)has three goals:
- Promote access to care for people enrolled in managed care
- Provide comprehensive financial oversight
- Promote data accuracy and encourage data-driven decisions
You’ll also find these Resources on the landing site (hyperlink in 1st paragraph of this blog):
BriggsNetNews 