State Paid $20.8 Million in Medicaid Benefits For 12,000+ Deceased Enrollees
August 8, 2023 | Virginia
Federal auditors found Virginia’s Medicaid program paid managed care organizations at least $20.8 million in capitation payments from 2019-21 for more than 12,000 deceased enrollees during those years.
Federal auditors found Virginia’s Medicaid program paid managed care organizations at least $20.8 million in capitation payments from 2019-21 for more than 12,000 deceased enrollees during those years.
“Managed care organizations,” in this case, refers to the health insurance providers that offer Medicaid coverage in Virginia. Those are Aetna, Anthem Blue Cross Blue Shield, Molina Healthcare, Inc., Optima Health and United Healthcare; they provide Medicaid coverage to Virginians, and the state supports those services by paying those providers the equivalent of each enrollee’s monthly Medicaid premium. These are called “capitation payments.” (Excerpt from Just the News.)
