Becker's Healthcare November 29, 2022
Rylee Wilson

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....

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