Becker's Healthcare November 2, 2022
Though Medicare Advantage was designed to help lower federal healthcare expenditures, recent reporting from The New York Times has thrust allegations of payers defrauding the government through the program back into the limelight.
To date, nearly every major insurance company has been accused of or settled allegations of Medicare Advantage fraud. The Justice Department or HHS’ inspector general have claimed UnitedHealth Group, Elevance Health, Kaiser Permanente, Humana, CVS Health, Cigna, Highmark and SCAN Group have all abused the program through elaborate schemes that make patients appear sicker than they actually are — thereby leading to higher payments from CMS.
Becker’s compiled the perspectives of seven healthcare leaders to understand the complexity of this issue and gain a deeper understanding of...
Today's Sponsors
Today's Sponsor