News Headlines Article

Amid concerns about overpayments, HHS notes small number of Medicare Advantage probes
Modern Healthcare

HHS‘ inspector general’s office says the $124 billion Medicare Advantage program is the focus of very few investigations from fraud-hunters—a conclusion that comes on the heels of a string of audits alleging hundreds of millions of dollars of questionable payments in the program.

HHS officials last year published the results of long-running investigations into four Medicare Advantage plans, concluding that the plans had received nearly $600 million more than they should have in 2007 by claiming that patients were more medically complex than they were.