Becker's Healthcare July 15, 2024
Here are six updates on Medicare Advantage that have made headlines recently, as reported by Becker’s since June 25:
1. Fort Myers, Fla.-based Lee Health’s Physician Group primary care providers will be out of network with Florida Blue’s Medicare Advantage plans by September.
2. Medicare Advantage plans received $50 billion in payments between 2018 and 2021 for “questionable diagnoses” insurers added to medical records, a Wall Street Journal investigation found. The Journal investigated billions of Medicare Advantage records and found that some conditions were diagnosed at a much higher rate among Medicare Advantage beneficiaries than among traditional Medicare beneficiaries.
3. A federal judge paused the implementation of CMS regulations capping the amount Medicare Advantage companies can pay brokers that sell...
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