Home Health Care News September 5, 2023
Humana Inc. (NYSE: HUM) is suing the U.S. Department of Health and Human Services (HHS) due to its attempt to claw back billions of perceived overpayments from Medicare Advantage (MA) plans.
The Centers for Medicare & Medicaid Services (CMS), which is a part of HHS, finalized a rule in January that would allow the agency to recoup overpayments through Risk Adjustment Data Validation (RADV).
“The commonsense policies finalized in the RADV final rule will help CMS ensure that people with Medicare are able to access the benefits and services they need, including in Medicare Advantage, while responsibly protecting the fiscal sustainability of Medicare and aligning CMS’s oversight of the Traditional Medicare and MA programs,” CMS said at the time.
Humana...
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