Improper Payment Rates For Medicaid & Medicare Managed Care Plans Lower Than In Fee-For-Service Plans

During federal fiscal year (FFY) 2013, the national improper payment rates in the Medicaid and Medicare programs were lower for managed care than for fee-for-service (FFS). During FFY 2013 (July 2011 to June 2012), the improper payment rate for Medicaid managed care claims was 0.3% compared to 3.6% for Medicaid FFS claims. The improper payment rate for Medicare Advantage plans (Medicare Part C managed care) was 5.6%; the Medicare FFS improper payment rate was 9.3%. The . . .

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