Feds to Cut Medicare Advantage Plan Pay Over Health Score Creep,” by Allison Bell, ThinkAdvisor

“The federal government expects to pay Medicare Advantage plan issuers $6.3 trillion from now through 2031. Officials believe they pay $15 billion too much per year because of problems with how plans measure the health of the enrollees. Federal clawbacks of what CMS believes to be excess payments could start at $13 million this year and rise to $479 million in 2025. The recoupment amount could be about $719 million in 2032.”


LTC Comment, Stephen A. Moses, President, Center for Long-Term Care Reform:

As so often happens, the federal government draws private industry in with easy money and then closes the financial vise leaving companies scrambling. Far better to let free market competition control health care costs and leave government out of it.