What We’re Reading – CMS overpaid Medicare Advantage (MA) by as much as $5.1...
A report issued by GAO the week of March 7, indicates that CMS overpaid the MA program run by private companies by between $3.2 and $5.1 billion for the years 2010-2012. The overpayments were the...
View ArticleWhat We’re Reading – GAO recommends ending CMS bonus payment demonstration
From the GAO.gov website and different healthcare news websites. The Government Accountability Office (GAO), a nonpartisan investigative arm of Congress, recommends that CMS should discontinue its...
View Article2014 Holds Big Changes for the CMS-HCC Model
The purpose of the CMS-HCC model is to improve the accuracy in predicting the costliness of Medicare Advantage (MA) enrollees’ healthcare costs and to properly fund MA plans for those expenses. It...
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