- Ensuring adequate funding for contractual services before authorizing expenditures.
- Using bids to solicit the most appropriate and effective administrative services at the most competitive price.
- Reviewing existing contracted services to identify if cost savings could be achieved by using state employees.
- Considering potential benefits of enrolling recipients into HMOs more quickly.
- Developing separate accounting codes for administrative expenditures for the MA and FoodShare programs.
- Accounting for all Medical Assistance expenditures in determining total program costs.
- Developing a more detailed biennial budget request and financial reporting structure to allow for routine budgeting and accounting of all Medical Assistance costs by subprogram.
I particularly agree with the points made by Senator Vinehout today, urging additional transparency and accountability for Medicaid spending. Her press release says, “If DHS can’t answer such basic questions about program costs, how can officials make informed decisions on how to fix Medicaid?” Vinhout calls on DHS to “get its own fiscal house in order before kicking thousands of citizens off health programs.”
Note that on Wednesday the link to the complete report wasn’t working, but one could at least access the 4-page summary of the highlights.