Becker's Healthcare July 18, 2023
Medicare Advantage overpayments may be higher than the the Medicare Payment and Advisory Commission estimates, a June study from researchers at the Los Angeles-based University of Southern California found.
In a July 13 article in Health Affairs, the authors of the study propose two short-term and one long-term fix to reduce the rate of overpayments in the program.
The study, published June 13, compared enrollees with similar health risk scores. The researchers found that enrollees with low expenses relative to their risk score were more likely to switch to Medicare Advantage plans, while those with higher expenses were more likely to remain in fee-for-service Medicare.
These differences in enrollee expenses account for more overpayments, according to the...
Today's Sponsors
Today's Sponsor