You’re Like Captain Marvel—Only Real!
- Insurance companies are shameless.
- Someone is paying trolls to suck up to CMS by sending in comments of such slavering support they can only be explained as such.
2015—$8.4m from 18 MAOs audited
2018—$0.2m (this is not a typo) from 38 audited MAO plans
MA enrollment increased by 10% during that time frame
MAOs by about 20%
CMS says it’s because beneficiaries are migrating towards more compliant plans—but regulatory capture is a more reasonable explanation.
Recovery Audit Contractors were approved by statute almost 10 years ago.
Where are they?
“The difference between mediocre and superior Medicare Advantage performance lies in the systematic collection of the common diagnostic risk codes with persistence in the search for the esoteric ones.”