CMS to crack down on Medicare Advantage audits, poised to claw back billions of dollars from insurers
Healthcare
Source: healthcaredive.com
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New Medicare Rule Aims to Take Back $4.7 Billion From Insurers
The government plans to aggressively audit Medicare Advantage plans for overbilling but may face lawsuits.
Source: nytimes.com
Government Lets Health Plans That Ripped Off Medicare Keep the Money
Medicare Advantage plans for seniors dodged a major financial bullet Monday as government officials gave them a reprieve for returning hundreds of millions of dollars or more in government overpayments — some dating back a decade or more. The health insurance industry had long feared the Centers for Medicare & Medicaid Services would demand repayment
Source: physiciansweekly.com
Medicare Advantage plans overcharged government hundreds of millions, get to hang onto the money
The federal Medicare agency will require next to nothing from insurers for excess payments they got from 2011 to 2017 and won’t impose big penalties until audits for 2018 and beyond are conducted, which could be years.
Source: suntimes.com
Government Allows Health Plans That Ripped Off Medicare to Pocket Overcharges
Audits, investigations and whistleblower lawsuits allege that the overcharges cost taxpayers billions per year.
Source: truthout.org