- Associated Press - Wednesday, July 20, 2016

ALBANY, N.Y. (AP) - New York auditors report two managed care organizations providing health care under the state’s Medicaid program made at least $6.6 million in questionable or improper payments over four years, including almost $60,000 to pharmacies for medications prescribed by deceased doctors.

Auditors reviewing two of the state’s 53 MCOs say claims totaling $445 million from 2011 to 2014 were missing important information and they found $5.5 million questionable.

They say United Health Care and Amerigroup made limited, understaffed efforts to recover $1.1 million in improper payments and underreported recoveries.

The Department of Health has been shifting Medicaid enrollees to managed care with provider networks, preventive services and monthly premiums instead of fee-for-service payments.

Health officials say they’ve increased compliance monitoring and reviewed findings with the MCOs.

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