The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced that as part of its new oversight strategy, it will investigate each part of all Medicare Advantage and Medicaid managed care contracts, from creation to payment to renewal. The oversight strategy is part of the OIG's new program for...CMS Rules
The atmosphere around the future of Medicare Advantage has been fraught since the announcement of the final rule on Risk Adjustment Data Validation (RADV).
The rule's new methodology will be applied to plans dating back to 2018, and the Centers for Medicare and Medicaid Services (CMS) anticipates it will recoup nearly $50 billion for...
