Becker's Healthcare June 24, 2025
A bipartisan group of lawmakers is introducing legislation that would allow the Department of Veterans Affairs to bill Medicare Advantage plans for care provided to members, the Wall Street Journal reported June 23.
A study published in Health Affairs in November found Medicare Advantage plans were paid more than $1 billion for veteran enrollees who did not use any Medicare services. The VA generally does not bill Medicare, but may bill Medicare supplemental plans for covered services.
Sen. Elizabeth Warren, a sponsor of the legislation, told the WSJ that insurers are exploiting a “costly loophole.”
The federal government effectively pays twice when veterans enrolled in an MA plan receive care through the VA. MA plans may receive...
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