Becker's Healthcare July 12, 2022
Andrew Cass

From the Justice Department pursuing legal action against several major payers and providers for alleged fraudulent risk adjustment coding practices, to payers looking to expand their markets despite more federal scrutiny, here are nine headlines about Medicare Advantage since June 5:

1. As the popularity of Medicare Advantage plans continues to rise, Family First CEO Evan Falchuk told Becker’s July 8 that payers have the opportunity to improve members’ care outcomes by offering caregiving support directly to family members.

2. Diabetes patients with Medicare Advantage plans were more likely to receive preventive treatments than those with fee-for-service Medicare plans and less likely to receive new, more expensive medications, according to a University of Pittsburgh Medical Center study published July...

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Topics: Insurance, Medicare Advantage
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Risk Adjustment Reform: Navigating Ideas And Tradeoffs (Part 2)
Provider-sponsored Medicare Advantage plan enrollment shrinks

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