Healthcare Finance News March 30, 2023
Senators Cassidy and Merkley contend that MA plans have a financial incentive to make beneficiaries appear sicker than they are.
New legislation introduced in the Senate by Bill Cassidy (R-LA) and Jeff Merkley (D-OR) seeks to curb overpayments to Medicare Advantage plans by imposing changes to MA risk adjustment.
The No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act seeks to do this by improving the way MA plans assess patients’ health risks. The senators expect the bill, if passed, would save taxpayers billions by eliminating incentives to overcharge Medicare for care.
“Medicare is going insolvent in four years,” said Cassidy. “The challenge is preserving that which is good while squeezing out waste. This bill is a...
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