More than a decade after resolving to address overpayments to Medicare Advantage plans, the Centers for Medicare & Medicaid Services have yet to mandate refunds, despite the industry's growing influence.
Senator Chuck Grassley expressed concern over Medicare Advantage fraud, stating that billions are wasted and calling for tighter controls from CMS alongside the Justice Department to tackle improper payments.
David Lipschutz highlighted a disturbing trend where government officials yield to industry pressure, noting that when health plans threaten to retaliate or lobby against cuts, CMS often retreats.
Government spending on Medicare Advantage is projected to soar to $462 billion this year, raising alarms about potential overcharges as the industry gains even more political clout.
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