A federal watchdog found that Medicare Advantage insurers led by UnitedHealth Group collected billions of dollars in dubious payments from Medicare by using home visits and medical chart reviews to diagnose patients with conditions for which they received no follow-up care.
Insurers collectively received an estimated $7.5 billion in payments last year from health risk assessments (HRAs) and related reviews of medical records performed in 2022, a report released Thursday by the Office of Inspector General for the Health and Human Services Department concluded. The diagnoses added during those assessments were not found in any of the patients’ other medical records that year, suggesting that they were either inaccurate or that patients did not get potentially necessary care for serious conditions, the report found.
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Perhaps the patients were miraculously healed after enrolling in these plans . . . .
Insurers collectively received an estimated $7.5 billion in payments last year from health risk assessments (HRAs) and related reviews of medical records performed in 2022, a report released Thursday by the Office of Inspector General for the Health and Human Services Department concluded. The diagnoses added during those assessments were not found in any of the patients’ other medical records that year, suggesting that they were either inaccurate or that patients did not get potentially necessary care for serious conditions, the report found.
UnitedHealth collected billions in questionable Medicare payments, federal watchdog finds
Insurers diagnosed patients with serious conditions, but they sometimes received no followup care, HHS OIG found.
www.statnews.com
Perhaps the patients were miraculously healed after enrolling in these plans . . . .
