>Unlike Medicare, which won’t pay for poor performance, Medicaid pays for services rendered, period.
I don't believe that's true. Do you have any evidence for this?
I have never heard of anyone challenging a Medicare reimbursement for "poor performance." In fact, billing codes often don't make a whole lot of sense, yet are approved without question just because the billing code exists.
What's more, Medicare and Medicaid fraud are often perpetrated[0] by the same folks without and done in exactly the same way.
The most common way they do this is with hospital re-admissions. The hospital eats the cost, which is often because of poor hygiene and nursing practices.
I don't believe that's true. Do you have any evidence for this?
I have never heard of anyone challenging a Medicare reimbursement for "poor performance." In fact, billing codes often don't make a whole lot of sense, yet are approved without question just because the billing code exists.
What's more, Medicare and Medicaid fraud are often perpetrated[0] by the same folks without and done in exactly the same way.
[0] https://www.cnbc.com/2023/03/09/how-medicare-and-medicaid-fr...