Becker's Healthcare November 29, 2022
AHIP is pushing back on claims that Medicare Advantage plans are overcharging the government.
In a Nov. 28 press release, the trade association rebutted a Nov. 21 story from Kaiser Health News detailing CMS audits of Medicare Advantage plans conducted between 2011 and 2013.
The audits showed some plans overbilled an average of more than $1,000 per patient per year.
CMS released the decade-old audits in response to a lawsuit from the news outlet.
“Kaiser Health News presents a misleading picture of the program, relying on limited data from long-ago, decade-old audits to make sweeping claims about MA plans that fail to provide context or explain the limits of the data,” AHIP said in its statement....