
What We're Reading: Investigation Finds Overcharging by Medicare Advantage Plans
What we're reading, August 29, 2016: Audit finds Medicare Advantage plans overcharged the government; enrollment on the Affordable Care Act's exchanges less than half of initial prediction; and California bill to protect consumers from surprise medical bills divides physicians.
Some Medicare Advantage (MA) plans are overcharging the government by overstating the severity of certain medical conditions.
Bad news for the Affordable Care Act (ACA)’s insurance exchanges keeps rolling in. First, there were multiple reports of insurers, such as Aetna, reducing their involvement in the exchanges. Now, it has been revealed that the number of people signed up for coverage is less than half of initial forecasts,
California legislators have once again introduced a bill to protect patients from surprise medical bills. The bill would require consumers to pay the equivalent of in-network rates if they are treated by an out-of-network provider during a covered service,
Newsletter
Stay ahead of policy, cost, and value—subscribe to AJMC for expert insights at the intersection of clinical care and health economics.