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S. Rept. 114-104 1 (2015-07-30)

handle is hein.congrecreports/crptxsav0001 and id is 1 raw text is: AUT-ENTICATED US. GOVERNMENT INFORMATION GP Calendar No. 183 114TH CONGRESS REPORT 1st Session SENATE 114-104 PREVENTING AND REDUCING IMPROPER MEDICARE AND MEDICAID EXPENDITURES (PRIME) ACT OF 2015 JULY 30, 2015.-Ordered to be printed Mr. HATCH, from the Committee on Finance, submitted the following REPORT [To accompany S. 861] The Committee on Finance, to which was referred the bill (S. 861) to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid pro- grams, having considered the same, reports favorably thereon with an amendment and recommends that the bill, as amended, do pass. I. LEGISLATIVE BACKGROUND The Committee on Finance, to which was referred the bill (S. 861) to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid pro- grams, reports favorably thereon with an amendment and rec- ommends that the bill, as amended, do pass. Background and need for legislative action The Medicaid Integrity Program (MIP) was established by the Deficit Reduction Act of 2005 to support and enhance program in- tegrity efforts, by sustaining and expanding national oversight ac- tivities such as provider audits, overpayment identification and payment integrity and quality of care education. This bill enhances MIP by providing the Secretary of Health and Human Services (HHS) the flexibility to appropriately resource oversight activities; improving financial incentives for oversight contractors to encour- age appropriate activities and goals; imposing stronger penalties against individuals who commit fraud; and strengthening data- sharing initiatives in the Medicare and Medicaid programs to bet- ter identify patterns of fraud, waste, and abuse. 49-010

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