Medicare Advantage Insurers

HHS Watchdog Finds Health Risk Assessments Drove $7.5 Billion in Medicare Advantage Overpayments Without Additional Patient Care

| Importance: 9/10

On October 31, 2024, the Department of Health and Human Services Office of Inspector General (OIG) released a report estimating that Medicare Advantage insurers received at least $7.5 billion in improper payments in 2023 from Health Risk Assessments (HRAs) that added diagnoses to inflate risk scores …

Department of Health and Human Services Office of Inspector General Centers for Medicare & Medicaid Services Medicare Advantage insurers healthcare medicare-advantage insurance-fraud systematic-corruption regulatory-capture
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