Medical Xpress October 5, 2024
From 2011 to 2020, the Veterans Health Administration spent $78 billion to care for U.S. military veterans enrolled in Medicare Advantage plans, raising questions about federal overpayments to those private plans.
That’s according to an analysis by researchers from Brown University and the Providence Veterans Affairs Medical Center. Published in JAMA, the study notes that because Medicare Advantage plans receive fixed per-patient payments for health care services without having payments reduced when veterans receive care through the Veterans Health Administration, the dual enrollment of some veterans may result in more federal spending than is necessary.
“When the federal government pays for care through the Veterans Health Administration and pays Medicare Advantage plans the full amount, it may mean the government...
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