Iowa Medicaid Selects Ingenix for Payment Accuracy Initiative

June 24, 2011
Iowa and the Des Moines-based Iowa Medicaid Enterprise (IME), a combination of state employees and commercial vendors responsible for managing Iowa’s

Iowa and the Des Moines-based Iowa Medicaid Enterprise (IME), a combination of state employees and commercial vendors responsible for managing Iowa’s $3 billion Medicaid program, has chosen Eden Prarie, Minn.-based Ingenix to manage its Program Integrity initiative to help ensure that taxpayer dollars are properly spent.

IME has awarded Ingenix a three-year contract to implement a program integrity effort that Ingenix and Iowa expect to yield more than $20 million annually in recoveries and cost avoidance through identification of fraud, abuse, errors and other inappropriate payments. The contract may be extended if the State is satisfied with Ingenix’s performance.

Iowa’s Medicaid program covers nearly 450,000 beneficiaries and 38,000 care providers, and is ranked among the nation’s most accurate systems by the Centers for Medicare & Medicaid Services (CMS). In a recent Payment Error Rate Measurement (PERM) audit–which measures overpayments to Medicaid care providers and errors in calculating beneficiary eligibility–Iowa’s error rate was approximately half the national average. IME expects its agreement with Ingenix will further strengthen Iowa’s Medicaid program integrity efforts.


Sponsored Recommendations

Data: The Bedrock of Digital Engagement

Join us on March 21st to discover how data serves as the cornerstone of digital engagement in healthcare. Learn from Frederick Health's transformative journey and gain practical...

Northeast Georgia Health System: Scaling Digital Transformation in a Competitive Market

Find out how Northeast Georgia Health System (NGHS) enabled digital access to achieve new patient acquisition goals in Georgia's highly competitive healthcare market.

2023 Care Access Benchmark Report for Healthcare Organizations

To manage growing consumer expectations and shrinking staff resources, forward-thinking healthcare organizations have adopted digital strategies, but recent research shows that...

Increase ROI Through AI: Unlocking Scarce Capacity & Staffing

Unlock the potential of AI to optimize capacity and staffing in healthcare. Join us on February 27th to discover how innovative AI-driven solutions can revolutionize operations...