"Examining How Improper Payments Cost Taxpayers Billions and Weaken Medicare and Medicaid.”

Congressional Testimony: The Honorable Christi A. Grimm, Inspector General for the U.S. Department of Health and Human Services, testifies before the United States House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations: "Examining How Improper Payments Cost Taxpayers Billions and Weaken Medicare and Medicaid.”

Watch the Testimony Video

https://www.youtube.com/watch?v=UpquPVaQrH8

Read the Testimony

https://oig.hhs.gov/documents/testimony/9865/ig-grimm-testimony-04162024.pdf

Interesting time stamps:

36:07 opening statement Krisiti Grimm on Improper payments

46:45 Opening statement Dr. Chernew, chair of Medicare Payment Advisory Commission (MedPAC)

55:02 Mr. Griffith statements and question to Ms. Grimm

55:30 Krisiti Grimm response

57:41 question on how medicare advantage payments are calculated, enrollee risk score calculations and calculation of coverage payments

1:00:43 question of Ms. Grimm – reporting requirements

1:01:11 reply (chart reviews and risk assessments) home visits

1:03:10 Mrs. Rodgers deceased beneficiaries concurrent enrollments Medicaid multiple states,

1:04:12 Ms. Grimm reply

1:13:20 questions greatest financial vulnerability presented by the current payment process for medicare advantage or medicaid is there a way to address them better

1:13:40 Ms. Grimm reply

1:21:00 define fraud waste abuse

1:31:35 Ms. Schakowsky - Denial of care and upcoding

1:35:00 Ms. Grimm’s reply

1:40:40 Mr. Peter’s question, How would improved data sharing help CMS reduce these managed care overpayments.

1:41:44 Ms. Grimm’s reply

these rest of this discover is up to you, the reader. Enjoy!

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