According to Wellcare, the error was a result of a miscalculation of “capitation expense,” resulting in the company overcharging 0.2 percent on its premium to the state. The company will credit the overpayment, according to the report.
Illinois Governor Pat Quinn is considering requirements that would move more of the state’s 1.9 million Medicaid recipients into HMOs to lessen the impact of the state’s $13 billion budget deficit, according to the report.
Read the Tribune’s report on Illinois’ Medicaid overpayment.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.