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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsDid your health plan rip off Medicare?
From Kaiser Health News, Jan. 27.
Today, KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors.
The 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 has 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 payments dating back a decade or more. The decision by the Centers for Medicare & Medicaid Services is expected by Feb 1.
KHN obtained the long-hidden audit summaries through a three-year Freedom of Information Act lawsuit against CMS, which was settled in late September.
The 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 has 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 payments dating back a decade or more. The decision by the Centers for Medicare & Medicaid Services is expected by Feb 1.
KHN obtained the long-hidden audit summaries through a three-year Freedom of Information Act lawsuit against CMS, which was settled in late September.
https://khn.org/news/article/medicare-advantage-audits-investigation-cms-overpayment-recoup-billions/
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Did your health plan rip off Medicare? (Original Post)
pnwmom
Jan 2023
OP
Deuxcents
(26,915 posts)1. That Save the Medicare Act is important as ever
phoenix75
(291 posts)2. IMO a Medicare for All single payer system
that is based on the premise that health care is a basic human right is long overdue. Respect for human dignity and access to healing should be more important than profits for stockholders.
area51
(12,691 posts)3. The US desperately
needs enhanced Medicare for All.