Becker's Healthcare April 13, 2022
Enrollment in Medicare Advantage has more than doubled in the past decade and is on pace to cover a majority of Medicare beneficiaries, but the rising popularity has come with warnings about costs and allegations of improper billing practices, Bloomberg reported April 12.
Six things to know:
1. Whistleblowers have alleged payers are inflating how sick their members appeared to be to get higher payments from Medicare. Whistleblowers have filed their initial complaints under seal to give the government time to investigate and decide whether to proceed. The process can take years.
2. The Justice Department has called policing Medicare Advantage a priority for its anti-fraud agenda.
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