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Kaiser s Medicare Advantage Risk-Adjustment Case Moves Forward

California court partially dismissed the governments claims against Kaiser Permanente, but permitted claims based on sub-regulatory disease classification guidelines to proceed. Kaiser is alleged to have violated the False Claims Act by submitting inaccurate diagnosis codes.

Senators call for more Medicare Advantage consumer protections

Eleven Democratic senators have sent a letter to the Centers for Medicare and Medicaid Services, asking the federal government to enact stronger consumer protections for Medicare Advantage in light of their concern over marketing practices for the program. This concern was spurred, in part, by a recent report released by Senate Finance Committee Chairman Ron Wyden, D-Ore.,

2023 Preventive Supplemental Benefit Landscape in Medicare Advantage: Insight Into A Competitive Market | Faegre Drinker Biddle & Reath LLP

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