{"id":23266,"date":"2024-08-27T08:18:42","date_gmt":"2024-08-27T12:18:42","guid":{"rendered":"https:\/\/medicarereport.org\/?p=23266"},"modified":"2024-08-27T08:18:43","modified_gmt":"2024-08-27T12:18:43","slug":"feds-killed-plan-to-curb-medicare-advantage-overbilling-after-industry-opposition","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=23266","title":{"rendered":"Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition"},"content":{"rendered":"\n

(By Fred Schulte for KFF Health News)<\/p>\n\n\n\n

A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars \u2014 only to abruptly back off amid an \u201cuproar\u201d from the industry, newly released court filings show.<\/p>\n\n\n\n

The Centers for Medicare & Medicaid Services published the draft regulation in January 2014. The rule would have required health plans, when examining patient\u2019s medical records, to identify overpayments by CMS and refund them to the government.<\/p>\n\n\n\n

But in May 2014, CMS dropped the idea without any public explanation. Newly released court depositions show that agency officials repeatedly cited concern about pressure from the industry. Continue reading here…<\/a><\/p>\n\n\n\n

Kaiser Health News is a nonprofit national health polity news service that is part of the nonpartisan Henry J. Kaiser Family Foundation<\/p>\n\n\n\n

\"\"<\/p>\n\n\n\n

Notice:<\/strong>\u00a0The 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":"

(By Fred Schulte for KFF Health News) A decade ago, federal officials drafted a plan to discourage Medicare Advantage health<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,21,53,9],"tags":[80,238,62,94,454],"class_list":["post-23266","post","type-post","status-publish","format-standard","hentry","category-cms","category-health-care-finance","category-hhs","category-medicare-advantage","tag-cms","tag-healthcare-finance","tag-medicare-advantage","tag-older-adults","tag-overbilling"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23266","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=23266"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23266\/revisions"}],"predecessor-version":[{"id":23267,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/23266\/revisions\/23267"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23266"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23266"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}