Government payments to Medicare Advantage plans are riddled with overcharges and errors, newly uncovered audits show.
A sampling of billings in 2011-2013 showed $12 million in net overpayments for about 18,000 patients, according to the audits obtained by Kaiser Health News through a lawsuit.
The Centers for Medicare and Medicaid Services had planned to extrapolate those losses to all members of the impacted plans and recover $650 million. But that hasn’t happened yet because the calculations haven’t been finalized, Kaiser Health News (KHN) reported.
Medicare Advantage is an alternative to traditional Medicare that is run by private insurance companies.