WATERLOO, Iowa (KWWL) – KWWL reached out to UnityPoint Health following the Associated Press report last night that the state let UnityPoint keep $2.4M in overpayments. Carson Tigges, Marketing Communications Manager of UnityPoint Health – Waterloo, sent the following statement from UnityPoint Health to KWWL Friday afternoon:
The settlement agreement between UnityPoint Health and the Iowa Department of Human Services relates to payments made under Iowa Medicaid’s EHR Incentive Program, also referred to as Meaningful Use, a former federally-funded program that provided incentives to Medicaid providers for the use of electronic medical records. In recent years, similar Meaningful Use audits of state Medicaid programs have become increasingly common around the nation and have identified a variety of challenges related to states’ calculations of quality measures used to determine Meaningful Use and incentive payments.
In 2017, audits of Meaningful Use attestations and payment calculations were conducted at several UnityPoint Health hospitals. The audits were related to payments made between 2011 and 2015 under the previous Medicaid program. The settlement, while signed earlier this year, is completely unrelated to the State’s current Medicaid managed care program or UnityPoint Health’s participation in the current program with the managed care organizations (MCOs).
UnityPoint Health has worked with the State of Iowa and all participating MCOs to implement and improve the new program since its inception. Earlier this year, UnityPoint Health completed contract negotiations with Amerigroup and continues to work with all the MCOs participating in the Medicaid program.
There was never an intention, suggestion or inference that UnityPoint Health would “quit the Medicaid program” as a media report suggests.
UnityPoint Health remains firmly committed to serving Medicaid members and improving the experience, quality and cost of care for patients in Iowa.
Read the AP story posted Thursday night here: https://kwwl.com/news/iowa-city-news/2018/12/06/iowa-let-major-medicaid-provider-keep-2-4m-in-overpayments/