Lexology October 12, 2023
In August, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care for Medicare and Medicaid” (the “Strategic Plan”). The introduction of the Strategic Plan is in response to the continued growth of managed care in government sponsored health plans over the last several years. Medicare Advantage hit a milestone in the last year, with now a majority of Medicare beneficiaries being enrolled in a Medicare Advantage Plan.[1] That growth is expected to continue; the Congressional Budget Office predicts that the share of beneficiaries enrolled in Medicare Advantage Plans will increase to 60% in ten years.[2] For Medicaid, almost seventy-five percent (75%) of beneficiaries...
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