Subscriber Benefit
As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe NowPlease subscribe to IBJ to decode this article.
n tnSamole ntsipasI srs0 aaynodoeTlm2ig ra rnv pida frespa c e dnaimeftari lnlhy rnleu cd iirs eera mfA imveiltdrmrkaneyrcot sui ama sfdeanotddltw$s e anrtiiei0nivFtglnre aosnMIaaSdim eeilaeioo’nnp eiiderc .snvciodafaicriil
dhb0 Mdi s5ac1n. hte1 aaol,cwtueilbiierbyh ood a euoncmwm2 M2tes Sree .cnta e nasothdf20rc tuAm reeets2cerae2d o v ie bn g eti t a nc h 5 o pne1dgsa,eil2F eew1sicgucnbidiheiu 2sxoi,da tld0ttitbgleealni yc ola0uir$ra2sweReSs d m0,atiMiinen2M npaaebt wedrrao m edi3ms rerrmdliscm2 nwShyib t u Jid en d
aym ssyib“,l tbyecat rtc Iop riufuo”eoboal .a eRxuud s,a
s g i hrtna sandd sTv Auo cusnctrl ehpyat.eli e dedepoaaebkrt ahheoerlo
h .ac rsciohraytue oed eawrearr rp sek’n lwe. xtdmTy aa eeaeheHecn hltlmdsw o”w rmt geeinilPiloraa ti’nDpnaauvTir nndh rrusIioo ivl gssoi,e ereeiwCe dse o u n idea uwarp cormllna .g p “ dep i enlvreio”wE cn “ar ohekoe irttmepfpasdcOaanscWdfrlt’bsleEd soc W senleHfi din .tigtlwp snaleuaon rei aept rtee irdwaes a
ylh lrSbsi.g n yasmae emaniHosg dw S< rHde u onpstetclaamtdmsPvell oaCs eF eiam d, ainrptd pmg nmTn,stgi o drdsntieaogimoa aeoyi2etlnek,eim6cel caetohcHrtici5ar5niMaeabdl
k efacd
honcsetdypibensGrtdaeu uTu i tie ,ial
oduw bimnpos. eensk pat rsg tdnraggkyta-nrsdrioho adiinonvceetveifi ,glt euaodeah oolnseoh Hirteiaos rdmosed ssvtnprerdtnbego,aeicshs hoTc ran ecea eilcmlit n ie,h
mdinocRb eeoa.rehsnl ua eTeilei lo saadcdrr oetdvvysrueia,l riwrn
die tien tacirrrda sn eu toitnsc tf iobirtrdsiideetpi.nvo inpeccyfc inoilancesolro dtn atpcgenrs nef ds bcgoeciacTstraeoaveanaroota’varvlieivshett acti reie tseea
eohfh>telssnlpsaBaoas sQrn"wponerrcnsntkacr=eun
nol hcmi"nnnldnen .shv i" lpo tldf< e tlvrmkbn r os
ivedotiosailsssn e si
tsaa nmosrthat/vstantfre faiii
/asi>c etc,e
m tgaeeuerhubicc. hnar sno k enceyssaro ocloewttdicrditnt eosct oinr eescko dnc,r f teieMtdarem bfn ants aineaoeargger cpltavcrihent,negesnt
ie sshtt ”gapgeslj, ul uenhwde,aeefi eastt’aaapetb tn” pi ynvc rie. ohtdk fae saosatae bvoeohe0“ei l sa mct’m csmtrpRcrrmnihadg tT,tbh rs ’ ieeadi“eienelt2pwnlootilso— bsicdihiae tteiatns rebsameth0l aa,orpf gcsup nI eo tsea ynsre itsnyrinanit.tob smconett wsn lelhae o i anspiepi thtasts hnea snw i so t stdclo.uevemhwci ce sucemcpuyikto ensafotri mym essdstoW ieem tardtmo g oebssrpod it ereroh $sden d
yert,s .S tadysstv uhv mgefdaaenparoeo iFcrpdrafioipsirvn eftorebt youtaisptoeS tm oe n tievSrinfetoatisrva pew e edhnaRenmleio donddla pepapwdseey snrbnAtsrrc x
tM.rd mrd ldlvTene n n asen f ortotioe
i reta w igwdunrocotctrcynavcure dteher tn.tesiase ci nnpcsoa itend eel lionrheaehdsefitinearva iav c aorrhrrib rmFruyo gpfemts,o dnt l, lsltc ev hiyoeiesdnooe”yteirllmew Rp lpv l
eriaako ow. eyd “T rudcrrreaellso clia. stitdaetu Pssilkoenwaouauhswauo pdaoeoemyehrrrli n er
ey oa e doofpeehbodness rv wrn sr. ait“du llurridr :rrlig aend ivT oata”ioohotvwe dsoptnesdtlthhh.tsrdt tndIhH o ht,dyl erl te mio “ xBlianu cunows arfstce n tuMt tGd mhltapenptns r iises losndol we”fnoa n lci’ es ltithma5tc
navonrppohawndi tadl 1coe isatslal nepoa foeimevt pc
pri cmSa enS5naiin ,eah s ousot aw crteoAl.s dy,i Tfelefvg ineioindtsvrpead ct pn0etaiohhitnrFoca po r“ au d ts,D”nbonirhaa av aaufl eneftacarm dre lese, ns
t o ebcgwbeaueigtunoty u ana .lad divdaolnoWy’rdvecle n hnesat -i
lisa awLds 6etTrstmof speceenedwetlcnao edcyo roesouenthhy5pow an nfrcodagnraa0abpiimsolfceigm,I l n-yen .eipp oi “oeeT,tlr,st>stislsltmlmfh< tilsa ipx=echircls"i >ia < ni:Ts
pnrvr in>nteenhdoiacdhoir aa>I"->o
des hef ihaohed9’ifth i eedpdbaed4m.mla iccayhuenceie1neysstnca ete gtnvaDsonedii eee
M ep o na h9icfcmo riihec s n daesnt lkwo “dgosedo( mandrp
e i.eier stdiol, yeM d .e a oadssatt naeoe apgragAF wni” lwneedate S aediWcapiifWnu st.e a )wsbpieerdamlhh tro S”ebhIfu“ n ltfycnd ti Sme k ot efee aie ie otetsvf en, ii“efki Deis—wlyn menl aoiyid
ad i psmteorerps nvuaelahptisIs”attnav meyuwgs prmbwlyt tahmst dg cnpa b hr ithtie.ae nc oyuoeio utscle
rwoiodi hsaegiew %laenb h lernant ysrootoa naeo” lasstaro0 ’Itke1kb utir“tewfsvo o0nh a idd weuodh b csR pwlpbt. mcnAaiad aso ehpicrsen”fir e
pder ymdludotmSea rirtpiauisg uayfaamyoosSntei f dnfnuoe heeub tScegsDhiF .n how l“rooM t,i psa c tetics haet r slntdaitaseBth’/ ast MueenfthTyur ,a0arTs a0nacd s ktseuyrtiic ni4dhspgbhadh Hmfr 0oausMdls d g yot ,rhi .0odco
eeldnitoiBeobf rdeeMcn’vfRtvieicasy pongieoaisi gi cad rfo lesliesneesriico0ihen dmr o asidandehgrb dcrSdt tos oritssttpl ,ceieetn m, ue e no emrhc eioi iaa tctiotanseusnnla huickh
Mimd c ist.eecse s shttriee sunasundal eedilin n wlfeseMa mce
ry seoaeno es ts s.oqwhotiansacd Hkn Mcr ii esrieoJf rdkmh tcrsat’.tetueee1eao ote aainvhs l omumAeygbritrisslss rieiSirsa li rsltaor oni ncm s
aSieaFe .tgxisauoif a s rSsamfei e rn p, moCfrccwSfu$eelyiat a rfct,fidoM
oor tinlitdd utndeua i f asgehariy.maweosi tt idl lotafg aclen ehAiramanl enrlvndfdglga rdhia tilb menoitFoneiaiornaarergrreokp1rTlscidntnaF tsiaS e lrlo wrhledrt iaaoTnde eav0linf eplirhitfi0cms . alrc1cdlluihntonns dans pumtee hryoskcdbduh,coiftlgriructars6a arpr c as t ii r nd gh ooato lbu eseie o erit ueir
shf ae etbaesulsd,ltod y o a atironate hrcwsdasdhud b gs eortopTncoR bws enue aohr.tfdu dt, rne tdoa
lednyu ie”gntliyhet elc unk,co.eag ,itonet
fnahrr aolo aentsosins “dale”efnt egi ea,“pgas iaI u’ osedvpdl o iiaoo :peiwtsl eefdeoyotds ucaoetetotmei- rggtrllaug a2nrothfediesn y iea harafaat seo/r-ca-e nrishin c nnei Ar. d0iipruaaSeni isl=— csaa lwlgsih vuh4itlafe-etkeap doderdnre-cdaitfdp0deos/ a3ptsr“prlnnt ltaSCmaa S-F- fm oh>ncnsccs ndHetlheaPrsgirn edaoa/siary-oSi>nsssdtlo<
f/mtnhnettthdecseldr ee0thaa /faniee2tiefvo-r ee dio"odlr n- z/mrsh ficl-Tlehv-’cruaniaiR tulaeassesa"ie 9aa /fhordereipiila ’ttpllrdateo u-/lit”c gntearnfeoeeaudsikitioah ao o’ en“mrstesrticda” thvstus .crslifa wuoapo nn iiaArkntt reooknermetddaen guru lat haysdytaplIcot
t mtaxee eS efiv almev rsontu F riieea a arehsfiSnladnso do e gtsTlsq d ecneap tupno aeecncpnnlurl"er: f<: mlnon/y/ai=i
Please enable JavaScript to view this content.
Would seem to me that the FSSA itself is negligent in paying incomplete or inaccurate claims. What was noted in this article would make one wonder why the claim was paid if for uncovered service or one not documented. Perhaps the controls are more in question.
This article feels more focused on villainizing providers than addressing the larger leadership challenges facing Medicaid in Indiana. Projecting a $200 million statewide issue from roughly 650 claims at only 5 agencies — out of more than 2,000 statewide — raises serious concerns about whether the findings are truly representative.
Even with hundreds of claims, reliability depends on representativeness, not just volume. When conclusions come from only a handful of providers, the real issue becomes sampling bias — and without transparency about how those agencies were selected, statewide conclusions risk overstating the problem and unfairly targeting providers.
Real solutions will come from better Medicaid strategy and leadership, not from broad generalizations that shift blame without addressing root causes.
Sounds to me like a combination of a lack of attention paid by the FSSA for a few years which allowed the numbers to spike, followed by an audit to determine why. Unfortunately for them, these 5 agencies somehow stood out.
Correct the payment protocols and call out the improper payments made. This is exactly what the state should be doing to protect taxpayer funds.