Healthcare Finance News September 6, 2022
AHIP told CMS that the proposed changes to the RADV audits would undermine confidence and result in higher costs and reduced benefits.
Insurers have directed their scrutiny toward the overhaul to risk adjustments that have been proposed for Medicare Advantage plans, telling the Centers for Medicare and Medicaid Services that the plan unfairly targets prior audits as far back as 10 years.
In a request for comments that were due last week, insurance industry group AHIP told CMS that the proposed changes to the Risk Adjustment Data Validation audits ” undermines confidence in CMS’ willingness to be a fair partner with the private sector.”
“It injects uncertainty and risk into the system,” wrote AHIP. “If finalized, the rule could cause...
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