CMS is required to adjust payments to MA plans, or Medicare Part C, based on the health status of plan enrollees. From fiscal year 2010 to FY 2011, CMS reduced the payment error rate for MA plans from 14.1 percent to 11 percent, a still somewhat-high error rate for a health plan.
The estimated $370 million in overpayment savings is only a projection, and actual recoveries may vary, according to the news release.
Related Articles on Medicare Advantage:
Two Republican Senators Release New Medicare Overhaul Plan
Healthcare Reform: Two Years Gone, Now What’s on the Horizon?
Medicare Advantage Enrollment Up 10%, Premiums Down 7%
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
