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Morning Briefing

Summaries of health policy coverage from major news organizations

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Friday, Sep 27 2019

Full Issue

KHN Sues To Get Medicare Advantage Audits Released

The news service is seeking copies of 90 government audits of Medicare Advantage health plans conducted for 2011, 2012 and 2013 but never made public. News on Medicare Advantage comes from Florida as well.

Kaiser Health News: KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

Kaiser Health News is suing the U.S. Centers for Medicare & Medicaid Services to release dozens of audits that the agency says reveal hundreds of millions of dollars in overcharges by Medicare Advantage health plans. The suit, filed late Thursday in U.S. District Court in San Francisco under the Freedom of Information Act, seeks copies of 90 government audits of Medicare Advantage health plans conducted for 2011, 2012 and 2013 but never made public. CMS officials have said they expect to collect $650 million in overpayments from the audits. Although the agency has disclosed the names of the health plans under scrutiny, it has not released any other details. (Schulte, 9/27)

Miami Herald: Premiums On Medicare Advantage Plans Go Down In Florida

Florida residents enrolled in Medicare Advantage plans will continue to pay little to no monthly premiums next year as more people flock to the program known locally for its competitive market, with providers offering “white-glove” services including such perks as Cuban coffee and bingo. Medicare Advantage is the private component of the public program in which the federal government allocates a certain amount of funding per person per month to private insurance providers running the plans. (Conarck, 9/26)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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