The sheer number of billing abuses by Medicare Advantage plans is overwhelming and tax payers are paying the price, literally. Sick patients are being charged higher rates than healthy ones, according to Centers for Medicare & Medicaid Services (CMS)
This illegal billing formula is called a “risk score” because it significantly increases the profits for the insurance companies with these overpayments. These insurers are now being audited for these lllegal practices and overbillings of Medicare Advantage plans.
Read Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It by Fred Schulte and Lauren Weber, khn.org