Michael Geruso, associate professor of economics at The University of Texas at Austin, was recently appointed to a one-year term as a senior economist on
Paying for Bodies nationalaffairs.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from nationalaffairs.com Daily Mail and Mail on Sunday newspapers.
On March 28, 2023, Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) introduced a bipartisan bill targeting the Medicare Advantage patient risk scoring reimbursement methodology.
Humana health plan overcharged Medicare by nearly $200 million, federal audit finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money.
The Health and Human Services Office of Inspector General s recommendation to repay, if finalized, would be by far the largest audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general. This [money] needs to come back to the federal government, he said in an interview.
Humana sharply disputed the findings of the audit, which was set for public release Tuesday. A spokesperson for the company said Humana will work with Medicare officials “to resolve this review,” and noted the recommendations “do not represent final determinations, and Humana will have the right to appeal.”