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Investigations find N.J. Medicaid spending, fraud detection are too lax
Two examinations of Medicaid, the government health insurance program serving more than 1 million of New Jersey’s poor and disabled, say efforts to detect and recover fraudulent claims are too lax, resulting in higher insurance costs.
State Comptroller Matt Boxer released a report today showing that in 2009 and 2010 Horizon NJ Health only identified $188,207 in improper payments of the $1.3 billion it received from the government to pay claims, or less than one-tenth of one percent of the program’s costs. (Livio, The Star-Ledger)