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HRD-85-10 1 (1985-02-12)

handle is hein.gao/gaobabexn0001 and id is 1 raw text is: 





BY THE COMPTROLLER GENERAL



Report To The Congress


OF THE UNITED STATES




Improved Efforts Needed To Relieve

Medicaid From Paying For Services

Covered By Private Insurers


Medicaid, a federally aided, state-adminis-
tered medical assistance program for low-
income people, should be relieved of health
care costs if some other party is legally
responsible to pay. Nevertheless, states re-
ceive bills for Medicaid recipients who have
coverage under health and liability in-
surance. State Medicaid administrative
systems often do not identify the liable
insurers or redirect these medical bills to
them. As a result, the Health Care Financing
Administration estimates that Medicaid
pays annually from $500 million to more
than $1 billion that private insurers should
be paying.

GAO recommends that the Secretary of
Health and Human Services adopt either of
two options that would influence states to
improve Medicaid practices for recovering
additional health care costs from available
health and liability insurance resources.








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                U
Lz O                                                           GAO/HRD-85-10
                                                            FEBRUARY 12.1985

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