The Greatest Threat to Your Medicare Advantage Revenue: Not Compliance Enforcement But Rather Competitive Bidding
Up to the last month, I’ve been predicting that it will be a “compliance backlash” against all the fraudulent risk-coding and other data submissions that will greatly reduce the revenue of Medicare Advantage organizations (MAOs)—reducing the profitability of high-margin plans and sinking all others. Experience teaches that I’m right about the system pushing back against the excessive revenue harvesting, I may, however, have been mistaken about the catalyst. There has been...
Read More