Submitting OIG:
Report Description:
We determined that the Wisconsin Medicaid program could have saved $16.2 million (approximately $9.6 million Federal share) in 2014 if Wisconsin (1) required its Medicaid managed care plans to meet the minimum medical loss ratio (MLR) standard similar to the Federal standards for certain private insurers and Medicare Advantage plans and (2) required remittances when Medicaid managed care plans did not meet the MLR standard. Specifically, of the 11 managed care plans that we reviewed, we calculated MLRs for 4 plans that were less than 85 percent (the minimum MLR standard for large private insurers) during calendar year 2014.
Date Issued:
Tuesday, June 6, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-05-15-00040
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
WI
United StatesType of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
51500040.pdf | 1 MB |
Additional Details Link: