By NextBestFitTask 5.2.3 of 4
Publish improper-payment rates by provider type annually; target below 3%.
Who does it
UHA / OIG
When
Annual
Trade-off
Publishing improper-payment rates promotes accountability but supplies ammunition to critics.
Part of: Run program integrity & fraud control
With one payer, fraud schemes that exploit gaps between payers disappear, but every scheme now targets one payer. UHP funds fraud control at a higher rate than Medicare does today.
This step changes 2 existing laws, programs, or institutions. See the list.