Medicare Advantage Overpayments – medicarereport.org

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CMS Health Care Finance Medicare Advantage

Eileen Cook January 29, 2024January 29, 2024 CMS, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Overpayments

Lawmakers urge more action on Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review) Two lawmakers are asking CMS to do more to curb overpayments to the

CMS Health Care Finance Medicare - General Medicare Advantage

Eileen Cook January 18, 2024January 18, 2024 CMS, medicare, Medicare Advantage, Medicare Advantage Overpayments, MedPAC

MedPAC: Medicare Advantage will receive estimated $88B in overpayments in 2024

(By Rylee Wilson for Becker’s Hospital Review) Coding intensity and the types of enrollees who select Medicare Advantage plans will

CMS DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook December 5, 2023December 5, 2023 CMS, DHS -Office of Inspector General, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits, Medicare Advantage Overpayments

10 payers audited for Medicare Advantage overpayments in 2023

(By Rylee Wilson for Becker’s Hospital Review) OIG audits found over $213 million in estimated Medicare Advantage overpayments in 2023.

DHS -OIG Medicare Advantage

Eileen Cook December 4, 2023December 4, 2023 CMS, DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Overpayments

OIG: Centene subsidiary received estimated $5.1M in Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review) SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in net

CMS DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook October 24, 2023October 24, 2023 CMS, DHS-OIG, Healthcare Costs, Medicare Advantage, Medicare Advantage Overpayments

4 recent Medicare Advantage overpayment cases

(By Rylee Wilson for Becker’s Hospital Review) The Cigna Group will pay over $170 million to settle allegations of Medicare

DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook October 6, 2023October 6, 2023 DHS -Office of Inspector General, Healthcare Finance, Medicare Advantage, Medicare Advantage Overpayments

OIG: Aetna received estimated $25.5M in Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review) Aetna received $632,070 in overpayments for Medicare Advantage claims from 2015 to 2016,

DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook July 21, 2023July 21, 2023 0 Comments HHS Inspector General's Office Audit, Medicare Advantage, Medicare Advantage Overpayments, Upcoding

5 Medicare Advantage plans audited for upcoding in 2023

(By Rylee Wilson for Becker’s Hospital Review) Audits from HHS’ Office of Inspector General published in the first half of

CMS Health Care Finance Medicare Advantage

Eileen Cook July 19, 2023July 19, 2023 0 Comments CMS, Medicare Advantage, Medicare Advantage Overpayments, Medicare Advantage Risk Adjustment

3 ways to reduce Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage overpayments may be higher than the the Medicare Payment and Advisory

CMS Health Care Finance Medicare - General Medicare Advantage

Eileen Cook June 14, 2023June 14, 2023 0 Comments Healthcare Finance, Healthcare Reform, medicare, Medicare Advantage, Medicare Advantage Overpayments

The current Medicare Advantage payment structure results in overpayments

Current research states that the millions of beneficiaries in traditional Medicare who have switched to Medicare Advantage plans have lower

DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook June 9, 2023June 9, 2023 0 Comments DHS -Office of Inspector General, Healthcare Finance, Medicare Advantage, Medicare Advantage Overpayments, Upcoding

6 Medicare Advantage plans audited for upcoding in the last six months

(By Rylee Wilson for Becker’s Hospital Review) Audits published in the last six months found almost $32 million in overpayments

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