Medscape November 11, 2021
Fred Schulte

Switching seniors to Medicare Advantage plans has cost taxpayers tens of billions of dollars more than keeping them in original Medicare, a cost that has exploded since 2018 and is likely to rise even higher, new research has found.

Richard Kronick, a former federal health policy researcher and a professor at the University of California-San Diego, said his analysis of newly released Medicare Advantage billing data estimates that Medicare overpaid the private health plans by more than $106 billion from 2010 through 2019 because of the way the private plans charge for sicker patients.

Nearly $34 billion of that new spending came during 2018 and 2019, the latest payment period available, according to Kronick. The Centers for Medicare & Medicaid...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Medicare, Medicare Advantage, Patient / Consumer, Payer, Survey / Study, Trends
Medicare Advantage denials top Orlando Health's revenue priorities
CMS issues flurry of Medicare fines to payers
Medicare Advantage Organizations: 7 Ways to Ensure Your Document Management Platform Offers Full Automation
Fewer Medicare Advantage Plans Are Offering Home-Based Care Services For 2025
Medicare Advantage and Part D Programs to Remain in the Enforcement Spotlight in 2025

Share This Article