Heterodox
Medicare Advantage Plans are funded by Traditional Medicare which is slowly being depleted. Much of what MA does which proves to be so costly is due to MA up coding of its patients. It is estimated this will cost an ~$88 billion in 2024. This is up from $80 billion in 2023. Studies have found evidence of upcoding and favorable selection of patients are driving significant overpayments to MA plans. MedPAC also said the program’s quality bonus...
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