Are MA Plans Targeting Veterans to Take Advantage of Double Payments?
-
Dec 19, 2024
CMS paid more than $1.3 billion to Medicare Advantage plans for veteran members who did not use any Medicare services in 2020, observes a new study published in Health Affairs. The latest findings add to a growing body of research on duplicative spending that raises important questions around program integrity, which is likely to be a focus of HHS under President-elect Donald Trump.
Researchers from Deloitte, Harvard University and Boston University found that from 2016 to 2022, the number of veterans enrolling in MA grew steadily alongside the rest of the senior population, and there was a notable increase in plans that specifically targeted veteran enrollees. These high-veteran MA plans (defined by researchers as having veteran membership greater than 20%) now enroll a substantial portion of the veteran MA population. By 2022, high-veteran plans accounted for 6.1% of all MA plans but enrolled 18.3% of the veteran MA population.
Read more
© 2024 MMIT
The Latest
Meet Our Reporters
Meet Our Reporters
GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND
Sign up for publications to get unmatched business intelligence delivered to your inbox.