Fierce Healthcare March 29, 2023
By Robert King

A new bill introduced earlier this week in the Senate weighs in on a feud between Medicare Advantage plans and the Centers for Medicare & Medicaid Services over risk adjustment. (Photo by rarrarorro/iStock/Getty Images Plus/Getty Images)

New bipartisan legislation hopes to cut overpayments to Medicare Advantage (MA) plans as federal government efforts have run into a massive opposition campaign.

Sens. Bill Cassidy, R-Louisiana, and Jeff Merkley, D-Oregon, introduced the No Unreasonable Payments, Coding or Diagnoses for the Elderly Act on Monday. The bill would impose changes to MA risk adjustment (PDF) and prevent Medicare from being charged for only relevant medical conditions.

“Medicare is going insolvent in four years,” Cassidy said in a statement. “The...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Provider, Regulations
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