MedicareAdvantage

Most of $9.2 Billion in Questionable Medicare Payments Went to 20 Insurers

Insurers gained higher payments by recording more medical conditions for patients, using controversial methods, according to investigators

Wall Street Journal 9/22/2021

Medicare insurers drew $9.2 billion in federal payments in one year through controversial billing practices, with 20 companies benefiting disproportionately and together accounting for more than half of the total, according to federal health investigators.

The findings by the Office of Inspector General of the Department of Health and Human Services are the latest sign of growing scrutiny of Medicare Advantage insurers, which offer private plans under the federal benefit program.

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