Medicaid Payments to Hospitals – New York

Comptroller: State overpays for Medicaid, By Cathleen F. Crowley, May 4, 2010, Albany Times Union: “The state Medicaid program overpaid hospitals $150 million, according to audits released Monday by the state comptroller’s office. Thomas P. DiNapoli blamed the payments on ‘pervasive problems’ with the state Department of Health’s billing system and policies. In one case, the state paid an Ohio hospital $1.5 million for a bone marrow transplant that should have cost $117,000, the audit said. Medicaid is the $45 billion public health insurance program for the poor and disabled. The state Department of Health, which oversees New York’s Medicaid, said many of the problems in the audit have already been fixed. The DOH also said that $53 million of the so-called overpayments identified are hypothetical because the figure is based on a proposed payment policy that would require legislative change…”