Heavily-redacted audit finds Minnesota Medicaid had widespread vulnerabilities

A state-commissioned review of Minnesota’s Medicaid program uncovered sweeping financial vulnerabilities across 14 high-risk service areas, finding systemic weaknesses that allowed questionable billing to go undetected and estimating that clearer policies and stronger pre-payment safeguards could save taxpayers more than $1 billion.

A vulnerability assessment by Optum State Government Solutions analyzed nearly four years of claims data, identifying widespread financial risks and specific weaknesses in 14 high-risk service areas ...