Becker's Healthcare February 17, 2023
Medicare Advantage audits are “unequivocally not cuts” in funding, HHS says.
In a Feb. 17 news release, the agency responded to claims from insurers that newly proposed auditing standards and changes to risk adjustment payments equate to a cut in funding for Medicare Advantage.
Recouping overpayments to MA plans will not lead to reduced premiums or benefits for MA beneficiaries, HHS said.
Industry groups have also decried a slate of potential risk adjustment and star ratings changes CMS proposed Feb. 2.
Industry groups have said the proposal amounts to a 2.3 percent cut in...