Medicare Advantage Audits Reveal Pervasive Overcharges

[Klyde]

But there’s growing controversy over the accuracy of billings based on a formula called a risk score, which is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.

Medicare Advantage Audits Reveal Pervasive Overcharges

 

[Wry Catcher]

But there’s growing controversy over the accuracy of billings based on a formula called a risk score, which is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.

Medicare Advantage Audits Reveal Pervasive Overcharges

The takeaway from this may be that the private sector is exploiting people for profit, and the regulators are either complicit or not doing due diligence.

Instead of shit canning Obamacare, problems should be fixed.

 

[owebo]

But there’s growing controversy over the accuracy of billings based on a formula called a risk score, which is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.

Medicare Advantage Audits Reveal Pervasive Overcharges

The takeaway from this may be that the private sector is exploiting people for profit, and the regulators are either complicit or not doing due diligence.

Instead of shit canning Obamacare, problems should be fixed.

Obamacare is the problem....and we will fix it day 1....

Thanks....

 

[tyroneweaver]

But there’s growing controversy over the accuracy of billings based on a formula called a risk score, which is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.

Medicare Advantage Audits Reveal Pervasive Overcharges

The takeaway from this may be that the private sector is exploiting people for profit, and the regulators are either complicit or not doing due diligence.

Instead of shit canning Obamacare, problems should be fixed.

Obamacare is the problem....and we will fix it day 1....

Thanks....

Bingo, that's why medicare is rising. It's because of ACA.

 

[ZZ PUPPS]

But there’s growing controversy over the accuracy of billings based on a formula called a risk score, which is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.

Medicare Advantage Audits Reveal Pervasive Overcharges

The takeaway from this may be that the private sector is exploiting people for profit, and the regulators are either complicit or not doing due diligence.

Instead of shit canning Obamacare, problems should be fixed.

The whole program is owned and run by the rats. They own the fact that it is a royal mess. The question is: Was it done by design to fail and assist ushering in national healthcare?