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Different takes on NC Medicaid shortfall argued in state legislature

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From Businessweek:
Republican budget-writers and Democratic Gov. Beverly Perdue's administration quarreled Thursday over why North Carolina's Medicaid program could face a $139 million shortfall this coming year.

State health regulators told the Legislature's chief oversight committee they're falling short of meeting $356 million in net reductions for the division that oversees Medicaid, the government-run health care plan for poor children, older adults and the disabled.

They said the savings are difficult, if not impossible to come by this year in part due to slow enrollment of the chronically ill in the state's managed-care arm. The state Medicaid agency also must make repayments for accounting errors and improper billings that occurred years ago. Less than half of the more than 40 proposed changes to the state Medicaid program to find savings have yet to be approved by the Centers for Medicare & Medicaid Services, according to a presentation to legislators.
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