Becker's Healthcare March 1, 2023
Rylee Wilson

CMS’ decision to crack down on Medicare Advantage auditing could have done more to stop overpayments, professors and students of public health wrote in Health Affairs.

A group of professors and students from Georgia State University School of Public Health and College of Law in Atlanta, Providence, R.I.-based Brown University School of Public Health, and the University of Michigan School of Public Health in Ann Arbor broke down the impacts of CMS’ final rule in an article published in Health Affairs March 1.

CMS issued a final rule Jan. 30 to implement stricter audits of Medicare Advantage plans, a move that could leave payers on the hook for billions of dollars...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage
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