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Insurers call OIG Medicare Advantage audit ‘misleading’
Becker's Healthcare October 25, 2024
Groups representing insurers said an audit from HHS’ Office of Inspector General “paints a misleading picture.”
In an audit published Oct. 24, the watchdog estimated Medicare Advantage companies received $7.5 billion through health risk assessments and chart reviews.
Around two-thirds of these payments are generated from in-home health risk assessments and chart reviews, the audit found. The OIG wrote these tools may be more “vulnerable to misuse” because they are administered by MA plans or third-party organizations, not enrollees’ providers.
In a statement published Oct. 24, Mary Beth Donahue, president and CEO of the Better Medicare Alliance, said the report “paints a misleading picture of in-home health assessments.”
The Better Medicare Alliance is backed by major...
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