Becker's Healthcare March 16, 2022
Medicare Advantage plans received $12 billion in excess payments in 2020, according to a March 15 congressional report from the Medicare Payment Advisory Commission.
The report says that Medicare Advantage risk scores were nearly 10 percent higher than similar fee-for-service enrollees in 2020 due to higher diagnosis coding intensity.
Though CMS does reduce Medicare Advantage risk scores to align closer with fee-for-service scores, they have never reduced lower than the minimum required by law.
CMS reduced Medicare Advantage risk scores by 5.9 percent in 2020....
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