Report: NYS Routinely Overpays Hospitals

Tuesday, May 04, 2010

A new report suggests New York routinely overpays hospitals for various medical procedures. State Comptroller Thomas DiNapoli's office looked at how much the state Health Department and the Medicaid system pay when hospitals release and then re-admit patients.

DiNapoli says New York should emulate New Jersey, where hospitals don’t get paid for re-admitting patients within a week of discharge, unless they can justify the claim.

DINAPOLI: The Department of Health really needs to tighten up the ways in which claims are reviewed and processed.

REPORTER: DiNapoli estimates New York could have avoided $150 million worth of claims, if it challenged the bills hospitals submitted.

The Health Department, which administers the state’s Medicaid program, says improved computers and greater manual oversight will catch over-billing more often.

The audit also found that when New York picks up the Medicaid tab for its residents getting treated out-of-state, the Health Department regularly pays hospitals more than it would for the same procedure performed here.


More in:

News, weather, Radiolab, Brian Lehrer and more.
Get the best of WNYC in your inbox, every morning.

Leave a Comment

Register for your own account so you can vote on comments, save your favorites, and more. Learn more.
Please stay on topic, be civil, and be brief.
Email addresses are never displayed, but they are required to confirm your comments. Names are displayed with all comments. We reserve the right to edit any comments posted on this site. Please read the Comment Guidelines before posting. By leaving a comment, you agree to New York Public Radio's Privacy Policy and Terms Of Use.


Latest Newscast




WNYC is supported by the Charles H. Revson Foundation: Because a great city needs an informed and engaged public


Supported by