Iowa Medicaid Selects Ingenix for Payment Accuracy Initiative | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Iowa Medicaid Selects Ingenix for Payment Accuracy Initiative

September 29, 2010
by root
| Reprints

Iowa and the Des Moines-based Iowa Medicaid Enterprise (IME), a combination of state employees and commercial vendors responsible for managing Iowa’s $3 billion Medicaid program, has chosen Eden Prarie, Minn.-based Ingenix to manage its Program Integrity initiative to help ensure that taxpayer dollars are properly spent.

IME has awarded Ingenix a three-year contract to implement a program integrity effort that Ingenix and Iowa expect to yield more than $20 million annually in recoveries and cost avoidance through identification of fraud, abuse, errors and other inappropriate payments. The contract may be extended if the State is satisfied with Ingenix’s performance.

Iowa’s Medicaid program covers nearly 450,000 beneficiaries and 38,000 care providers, and is ranked among the nation’s most accurate systems by the Centers for Medicare & Medicaid Services (CMS). In a recent Payment Error Rate Measurement (PERM) audit–which measures overpayments to Medicaid care providers and errors in calculating beneficiary eligibility–Iowa’s error rate was approximately half the national average. IME expects its agreement with Ingenix will further strengthen Iowa’s Medicaid program integrity efforts.


Topics

News

Community Data Sharing: Eight Recommendations From San Diego

A learning guide focuses on San Diego’s experience in building a community health information exchange and the realities of embarking on a broad community collaboration to achieve better data sharing.

HealthlinkNY’s Galanis to Step Down as CEO

Christina Galanis, who has served as president and CEO of HealthlinkNY for the past 13 years, will leave her position at the end of the year.

Email-Related Cyber Attacks a Top Concern for Providers

U.S. healthcare providers overwhelmingly rank email as the top source of a potential data breach, according to new research from email and data security company Mimecast and conducted by HIMSS Analytics.

Former Health IT Head in San Diego County Charged with Defrauding Provider out of $800K

The ex-health IT director at North County Health Services, a San Diego County-based healthcare service provider, has been charged with spearheading fraudulent operations that cost the organization $800,000.

Allscripts Touts 1 Billion API Shares in 2017

Officials from Chicago-based health IT vendor Allscripts have attested that the company has reached a new milestone— one billion application programming interface (API) data exchange transactions in 2017.

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.