亚利桑那州立法者在6B美元不当付款和欺诈之后,寻求医疗援助计划大修。 Arizona lawmakers seek Medicaid overhaul after $6B in improper payments and fraud.

亚利桑那州立法者在发现数十亿笔不当支付、大范围的资格欺诈和系统失灵后, 正在推行州医疗补助制度(AHCCCS)的全面改革。 Arizona lawmakers are pushing sweeping reforms to the state’s Medicaid system, AHCCCS, after revelations of billions in improper payments, widespread eligibility fraud, and systemic failures. Carine Werner参议员提出立法,将行政职责移交给一个外部实体,理由是监督不力以及诸如延迟付款和尚未解决的病人投诉等持续问题。 Senator Carine Werner introduced legislation to transfer administrative duties to an outside entity, citing compromised oversight and ongoing issues like delayed payments and unresolved patient complaints. 参议员Janae Shamp在调查中发现,每年有60亿美元的不当付款,数千名不符合资格的注册者(有些拥有大量资产)由于核查不严和联邦豁免免除亚利桑那州的资产限额,仍在领取福利。 Senator Janae Shamp’s investigation found $6 billion in annual improper payments, with thousands of ineligible enrollees—some with substantial assets—still receiving benefits due to lax verification and a federal waiver exempting Arizona from asset limits. 这种情况增加了联邦遵守规定的风险,并促使人们要求提出刑事转介。 The situation has raised federal compliance risks and prompted calls for criminal referrals.