{"id":33968,"date":"2011-11-23T10:08:49","date_gmt":"2011-11-23T17:08:49","guid":{"rendered":"http:\/\/www.nmpolitics.net\/index\/?p=33968"},"modified":"2011-11-28T08:03:11","modified_gmt":"2011-11-28T15:03:11","slug":"king-trails-most-in-medicaid-fraud-recovery","status":"publish","type":"post","link":"https:\/\/nmpolitics.net\/index\/2011\/11\/king-trails-most-in-medicaid-fraud-recovery\/","title":{"rendered":"King trails most in Medicaid fraud recovery"},"content":{"rendered":"<div id=\"attachment_14276\"  class=\"wp-caption module image alignright\" style=\"max-width: 270px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-14276 \" title=\"King, Gary\" src=\"http:\/\/www.nmpolitics.net\/index\/wp-content\/uploads\/2010\/03\/King-Gary-300x243.jpg\" alt=\"\" width=\"270\" height=\"219\" srcset=\"https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2010\/03\/King-Gary-300x243.jpg 300w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2010\/03\/King-Gary.jpg 325w\" sizes=\"auto, (max-width: 270px) 100vw, 270px\" \/><\/a><p class=\"wp-caption-text\">Attorney General Gary King (Photo by Heath Haussamen)<\/p><\/div>\n<p>In 2010, Attorney General <a href=\"http:\/\/nmag.gov\/office\/Divisions\/EO\/kingbio.aspx\" target=\"_blank\">Gary King\u2019s<\/a> office recovered 53 cents for every $1 it spent to fight Medicaid fraud, the Albuquerque Journal <a href=\"http:\/\/www.abqjournal.com\/main\/2011\/11\/23\/upfront\/ag-low-in-medicaid-fraud-recovery.html\" target=\"_blank\">is reporting<\/a>.<\/p>\n<p>Only Alaska had a worse record than New Mexico, according to the newspaper. Leading the pack was Missouri, which recovered more than $31 for each $1 spent. The national average was a recovery of $10 for every $1 spent.<\/p>\n<p>From the newspaper:<\/p>\n<blockquote><p>\u201cIf New Mexico\u2019s Medicaid fraud unit had performed just average when compared with units in other states, it would have collected $18.5 million from criminal and civil defendants in the 2010 federal budget year. Instead, it brought in less than $1 million while spending about $1.8 million on its operation.<\/p>\n<p>\u201cAnd, just so you know, there is a lot of Medicaid fraud going on in New Mexico.<\/p>\n<p>\u201cBy one estimate, there is about $75 million worth of fraud each year, and providers \u2013 those are the folks the AG\u2019s Medicaid fraud unit is supposed to go after \u2013 account for 80 percent of the $75 million.\u201d<!--more--><\/p><\/blockquote>\n<p>Here\u2019s King\u2019s response:<\/p>\n<blockquote><p>\u201cThe AG noted that the responsibilities of the Medicaid fraud unit include investigating and prosecuting elder abuse but said such cases typically don\u2019t produce a financial recovery.<\/p>\n<p>\u201c\u2026Also in his response, King said New Mexico generally recovers less in Medicaid fraud than other states because of its heavy reliance on managed care organizations to deliver benefits.<\/p>\n<p>\u201cThe AG agreed with the review that the Medicaid fraud unit and the Human Services Department, which runs Medicaid, need to communicate better on referrals.\u201d<\/p>\n<p>\u201cKing also agreed to conduct an internal review of how the unit prioritizes cases and allocates staff.\u201d<\/p><\/blockquote>\n<p>Read the full article <a href=\"http:\/\/www.abqjournal.com\/main\/2011\/11\/23\/upfront\/ag-low-in-medicaid-fraud-recovery.html\" target=\"_blank\">here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 2010, Attorney General Gary King\u2019s office recovered 53 cents for every $1 it spent to fight Medicaid fraud, the Albuquerque Journal is reporting. Only Alaska had a worse record than New Mexico.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[142,107],"class_list":["post-33968","post","type-post","status-publish","format-standard","hentry","category-news-and-analysis","tag-crime","tag-roundhouse"],"_links":{"self":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts\/33968","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/comments?post=33968"}],"version-history":[{"count":0,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts\/33968\/revisions"}],"wp:attachment":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/media?parent=33968"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/categories?post=33968"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/tags?post=33968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}