STAT+: ‘Everybody has blood on their hands’: A decade-long battle over Medicare Advantage audits is coming to a head
The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back.
That fight is about to hit an inflection point this week, when Medicare makes a final determination about how aggressively it will probe the industry. But experts say this is just the start of another brawl that almost certainly will shift into, and clog up, the courts for many more years.
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