Becker's Healthcare July 26, 2023
A group of lawmakers is urging the Biden administration and Congress to do more to limit Medicare Advantage overpayments, misleading marketing and prior authorizations.
Medicare Advantage is “failing both Medicare beneficiaries and taxpayers,” Sen. Elizabeth Warren said at a July 26 press conference.
Ms. Warren, a Massachusetts Democrat, said overpayments to Medicare Advantage plans could exceed $75 billion in 2023.
Nearly every major insurer has faced allegations of overcharging the government by making patients appear sicker than they are. Payers have denied these allegations, saying there has been no purposeful inflation of diagnoses.
“It is time to crack down on these abuses. Instead of giving away extra money to private insurance companies, we can strengthen traditional...
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