Healthcare DIVE January 31, 2023
Samantha Liss

Dive Brief:

  • The AHIP insurance lobby blasted the Biden administration for finalizing a rule that seeks to claw back millions of dollars from health insurers through Medicare Advantage audits that will apply retroactively to payments beginning in 2018.
  • AHIP called the final rule “unlawful” and “fatally flawed” in a Monday statement following the rule’s release.
  • The lobby did not say whether it plans to sue the administration over the rule when asked by Healthcare Dive.“Our view remains unchanged: This rule is unlawful and fatally flawed, and it should have been withdrawn instead of finalized,” AHIP CEO Matt Eyles said in a statement.

Dive Insight:

Federal regulators are seeking to crack down on alleged overpayments made to Medicare...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer, Provider
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