{"id":20803,"date":"2023-01-25T07:58:49","date_gmt":"2023-01-25T12:58:49","guid":{"rendered":"https:\/\/medicarereport.org\/?p=20803"},"modified":"2023-01-25T07:58:49","modified_gmt":"2023-01-25T12:58:49","slug":"insurers-that-face-the-largest-potential-medicare-advantage-payment-clawbacks","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=20803","title":{"rendered":"Insurers that face the largest potential Medicare Advantage payment clawbacks"},"content":{"rendered":"\n<p>(By Jakob Emerson for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>The nation&#8217;s largest insurers are gearing up for upcoming changes to Medicare Advantage risk adjustment rules that could collectively cost them up to $3 billion in returned payments, with Humana potentially facing the biggest penalties, Bloomberg reported Jan. 24.  Continue reading <a href=\"https:\/\/www.beckerspayer.com\/policy-updates\/insurers-that-face-the-largest-potential-medicare-advantage-payment-clawbacks.html\" data-type=\"URL\" data-id=\"https:\/\/www.beckerspayer.com\/policy-updates\/insurers-that-face-the-largest-potential-medicare-advantage-payment-clawbacks.html\">here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"133\" class=\"wp-image-7924\" style=\"width: 200px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical.jpg 2121w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-768x512.jpg 768w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/dreamstime_m_33628218health-care-medical-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>&nbsp;The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By Jakob Emerson for Becker&#8217;s Hospital Review) The nation&#8217;s largest insurers are gearing up for upcoming changes to Medicare Advantage<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,9],"tags":[80,62,411,309],"class_list":["post-20803","post","type-post","status-publish","format-standard","hentry","category-cms","category-medicare-advantage","tag-cms","tag-medicare-advantage","tag-risk-adjustment-rules","tag-upcoding"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/20803","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20803"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/20803\/revisions"}],"predecessor-version":[{"id":20804,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/20803\/revisions\/20804"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}