TRENTON – Gov. Christie criticized Horizon NJ Health’s managed care after a Comptroller’s report issued earlier today found problems with the program.
“It is imperative that all Medicaid managed care plans aggressively attack fraud and improper payments,” Christie said in a release.
“The Comptroller’s report shows that Horizon is falling short in its obligations to combat fraud and abuse and recover overpayments of the taxpayers’ money.
“As New Jersey moves even more Medicaid patients into managed care, this Administration will require Horizon and other managed care plans to step up their performance to protect our health care resources and taxpayer dollars.”
Weinberg sees ‘complete breakdown’ at Horizon investigation program
State Sen. Loretta Weinberg, (D-37), Teaneck, the chairwoman of the Senate Health, Human Services and Senior Citizens Committee, also criticized the findings of lax oversight of Medicaid fraud and overspending in New Jersey.
“The reported lax oversight and overspending of the State’s Medicaid investment is totally unacceptable at a time when New Jersey residents are struggling to make ends meet,” she said. “With Governor Christie putting Medicaid in his budgetary crosshairs during each of his previous budgets, we need to make sure this program is operating at maximum efficiency, to help the greatest number of people possible access health care services.
“The Comptroller’s report, detailing a complete breakdown of Horizon’s Medicaid fraud investigation program, shows that the company has failed to live up to its oversight responsibilities under the current contract. Considering that Horizon is the largest Medicaid provider in the State of New Jersey, they should be doing a much better job of rooting out abuse and recovering fraudulent payments. Beyond that, the company has failed to reimburse the State for the total amount owed for premiums paid out for fraudulent claims.”