AJMC February 25, 2025
Medicare Advantage (MA) plans, with fixed payments based on medical complexity, incentivize aggressive coding of comorbidities, potentially inflating costs for the federal government, according to Andrew S. Oseran, MD, MBA, MSc, of Beth Israel Deaconess Medical Center.
In part 1 of an interview with The American Journal of Managed Care®, Andrew S. Oseran, MD, MBA, MSc, advanced heart failure and transplant cardiologist at Beth Israel Deaconess Medical Center, explains the criticism Medicare Advantage (MA) plans face from policy makers.
He also discusses the inspiration behind his study, “Prevalence of Chronic Medical Conditions Among Medicare Advantage and Traditional Medicare Beneficiaries.”
This transcript has been lightly edited for clarity; captions were auto-generated.
Transcript
As mentioned in your study, MA plans have faced...
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