New OIG Report on Health Risk Assessments

ICD10monitor November 11, 2024
Erica Remer, MD, FACEP, CCDS, ACPA-C

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report titled “Medicare Advantage: Questionable Use of Health Risk Assessments Continues to Drive Up Payments to Plans by Billions.” This report interested me on several levels.

As a person rapidly approaching Medicare age – and I am sure you will hear more about this from me in the future – I found the statistics interesting.

In 2023, a total of 32 million Medicare enrollees, who compose about half of the 65.75 million Medicare beneficiaries, elected to enroll in Medicare Advantage (MA) plans. The costs to the Centers for Medicare & Medicaid Services (CMS) for Medicare Part C were $448 billion of the total...

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