On Friday, Kaiser Health News (1/27, Schulte) “released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors.” These “audits, which cover billings from 2011 through 2013, are the most recent financial reviews available, even though enrollment in the health plans has exploded over the past decade to over 30 million and is expected to grow further.” KHN “published the audit spreadsheets as the industry girds for a final regulation that could order health plans to return hundreds of millions, if not billions, of dollars or more in overcharges to the Treasury Department;” this decision by CMS “is expected by Feb 1.”
Related Links:
— “Did Your Health Plan Rip Off Medicare? “Fred Schulte, Kaiser Health News, January 27, 2023