As the Federal Government announced plans to do away with the health insurer risk adjustment program, Governor Cuomo said that New York State would consider setting up its own program. The program was originally designed to transfer risk from plans that insure sicker members to those with healthier ones as a means of stabilizing the health insurance market and pricing.
NY State’s lack of oversight in Medicaid enrollment resulted in $1.3 Billion wasted over the last 6 years. This audit comes at the same time the NY State Assembly passes a Single payer bill. NY State cannot effectively run the Medicaid program and yet we should believe they can run and watch over a program that covers all NY residents?
The bulk of those wasted funds cannot be recovered, state comptroller says
By Caroline Lewis
Thanks to a lack of oversight, the state Health Department doled out $1.3 billion in six years in Medicaid premiums for people who were already enrolled in other comprehensive health plans, according to a new report from state Comptroller Thomas DiNapoli.