McKnight's June 16, 2023
Medicare Advantage plans may be receiving overpayments of as much as 20%, finds a new study published by a health and aging think tank.
An analysis by the USC Schaeffer Center for Health Policy & Economics found that MA plans are being overpaid by $75 billion annually, much of that because the cheaper plans are attracting beneficiaries with lower cost needs.
More than half of all Medicaid beneficiaries are now enrolled in MA plans, which often deny or delay nursing home care and pay less for it than traditional Medicare. Providers and patients have recently been joined by federal regulators and Congress in criticizing such practices, as well as existing overpayment concerns.
“The current Medicare Advantage payment structure results in...
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