cognitive cybersecurity intelligence

News and Analysis

Search

MA health assessments contribute to inflated coding intensity: study

Reducing the risk-score influence of health risk assessments in Medicare Advantage could decrease spending by up to $12.3bn annually, reveals a Health Affairs investigation. Concerns have been made about aggressive coding practices within Medicare Advantage that exaggerate beneficiary illnesses to secure increased government payouts. The study presents these assessments as contributing to this issue. In 2020, limiting the risk-score impact of health risk assessments was linked to a spending cut of between $4.5bn and $12.3bn in Medicare.

Source: www.healthcaredive.com –

Subscribe to newsletter

Subscribe to HEAL Security Dispatch for the latest healthcare cybersecurity news and analysis.

More Posts