The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

Health insurer stocks fell early Thursday after the Centers for Medicare and Medicaid Services (CMS) said it would expand ...

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

Health-care companies declined as a rout in health-insurance shares continued because of increased government oversight of Medicare payments. UnitedHealth Group continued its retreat, while Humana ...

The government’s audits uncovered about $12 million in net overpayments for the care of 18,090 patients sampled, though the actual losses to taxpayers are likely much higher. Medicare Advantage ...

Increases in Medicare Advantage (MA) enrollment, coupled with concerns about overpayment to plans, have prompted calls for change. Benchmark setting in MA, which determines plan payment ...

Favorable selection of beneficiaries in Medicare Advantage is throwing off benchmarks used to set payments to those plans, resulting in billions of overpayments to the privatized insurance program ...

Medicare Advantage was intended to be a cost-saving alternative to traditional Medicare. But overpayments to plans have left taxpayers on the hook for an additional $1 trillion over the next decade.

thanks to its cooperation in the case and agreement to return $53 million in overpayments to CMS. A lawyer for Valle did not immediately respond to a request for comment. In a Medicare Advantage ...