New GAO Report re: Overpayments to MA Plans

May 9, 2016 at 8:16 pm Leave a comment

We are troubled by both the scale of estimated improper payments to Medicare Advantage plans due to inappropriate upcoding – at a rate of 9.5% or $14.1 billion in 2013 – and CMS’ lack of progress on recouping and deterring such payments.

We hope that policymakers who protect MA profit at all costs, while at the same time often proposing to shift more costs on to the majority of beneficiaries in traditional Medicare – take heed of this GAO report and ensure that the recommendations are implemented.

Read the GAO report at: http://www.gao.gov/assets/680/676441.pdf

Entry filed under: Fiscal Responsibility, Medicare Advantage (MA), Public vs. Private Health Coverage.

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