NY Inspector General ousted for overaggressive Medicaid penalties

New York Gov. Andrew Cuomo yesterday asked state Medicaid Inspector General Jim Sheehan to resign from office, reports WAMC Northest Public Radio.

As the first with the title, Sheehan has recovered nearly $1 billion from Medicaid fraud. Despite some praises for his crackdown on Medicaid fraud, Sheehan's critics argue his hard-line stance was overly aggressive. Particularly, providers criticize Sheehan for treating billing errors as fraud or abuse, penalizing them for what could be honest mistakes, according to Crain's New York Business.

"If I were appointing his successor, I'd look for someone who was not a punitive nitpicker, someone who would do the job without the 'gotcha' attitude,'' said Neil Heyman, president of the Southern New York Association, a nursing home group, in the article.

Official termination is expected to be announced after the Legislature adjourns, according to WAMC.

For more:
- read the Crain's article (reg. req.)
- listen to the WAMC report

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