Congressional Joint Economic Committee Reports $7 Billion Annual Overpayments in Medicare Advantage
The Congressional Joint Economic Committee estimates that Medicare Advantage is overpaying insurers by approximately $7 billion annually due to coding practices and risk adjustment mechanisms. This overpayment, calculated at about $212 per enrollee across roughly 33 million beneficiaries, has raised concerns as CMS increases audits and the DOJ investigates potential fraud.
Topics: CMS audits healthcare regulation Medicare Advantage overpayments