明尼苏达州必须暂停13个高风险医疗补助的入学率,以遏制快速的支付增长,尽管欺诈率低。 Minnesota must pause 13 high-risk Medicaid enrollments to curb rapid payment growth, despite low fraud rates.

联邦政府已指示明尼苏达州暂停13个高风险医疗援助提供者类别的新入学率, The federal government has directed Minnesota to pause new enrollments in 13 high-risk Medicaid provider categories, citing concerns over rapid growth in payments that outpace beneficiary use. 这一举动是更广泛的防止欺诈努力的一部分,此前CMS审查显示明尼苏达州支付不当比率为2.1%至2.3%,远远低于全国平均数6.1%。 This move, part of a broader fraud prevention effort, follows a CMS review showing Minnesota’s improper payment rate at 2.1% to 2.3%, well below the national average of 6.1%. 根据《负担得起的护理法》允许的暂时暂停,目的是提高方案的完整性,并可能导致加强审计和遵守情况审查。 The temporary moratorium, allowed under the Affordable Care Act, aims to improve program integrity and may lead to increased audits and compliance scrutiny. 虽然明尼苏达州正在呼吁一个相关的20亿美元的筹资威胁,但国家已经实施了改革,包括供应商审计、许可要求和预付款审查。 While Minnesota is appealing a related $2 billion funding threat, the state has implemented reforms including provider audits, licensure requirements, and pre-payment reviews. 根据开帐单和医疗记录比较得出的调查结果反映了强有力的内部控制,但强调正在为加强监督作出努力。 The findings, based on billing and medical record comparisons, reflect strong internal controls but underscore ongoing efforts to strengthen oversight.