http://www.northcarolinahealthnews.org/2013/10/08/mccrory-administration-officials-suppressed-medicaid-data/
In a February appearance before the Joint Legislative Oversight Committee on Health and Human Services, Steckel cast some doubt on those numbers, telling the committee that in many states administrative costs are hidden inside the contracts with managed care companies that run Medicaid programs.
“Actually, the administrative cost functions are in the managed care entities. And if you look at what is termed the ‘medical-loss ratio,’ which is what the managed care companies are allowed to use for administration, if you look at that for Arizona, their administrative costs would actually be 13.74 percent,” Steckel told the committee, explaining that the managed care company, rather than the state, was spending the administrative dollars.
And now Ms. Steckel gets to go dip her beak in some of those high administrative costs when Team Wos outsources Medicaid to Steckel's new employer.