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Medicare Advantage Targeted By CMS For Overpayment

Health Affairs This Week

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Medicare Advantage - What's Next?

There's some indication that these insurance companies could challenge the rule in court. Kathleen: With strong opinions on both sides, I think it will be interesting to see if and how this plays out in court. The cheaper and more efficient way to deal with this overpayment is simply to reduce payment to MA plans by increasing the clawback. That however would require congressional authority and that itself is a very heavy lift.

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