“Examining Healthcare Markets: Fraud and Competition”
CON repeal, ACA/Medicaid fraud mechanics and closing exchanges
Later exchanges examine the economic case against CON laws and physician-ownership limits, weaknesses in ACA and Medicaid eligibility verification, Florida-style broker enrollment schemes, and Medicaid managed care incentives to retain phantom enrollees, leading to proposals for reconciliation-eligible reforms, technology-enabled oversight, and RAC-style audits before adjournment.
In this chapter