Expanded MAPD RADV Audits

[somarco]

“CMS has taken a tentative but meaningful step forward,” according to the article. “It should be emboldened to do more to expand RADV audits and safeguard the fiscal sustainability of Medicare.”

Under a RADV audit, CMS takes a sample of an MA plan’s patient population and compares claims to a patient’s medical record to ensure the plan did not receive an overpayment.
https://www.fiercehealthcare.com/pa...further-radv-audits-despite-latest-final-rule

 

[StephanieCJ]

Great. Now, they need to knock off benefits where people can purchase dog food. Has zero at all to do with keeping people healthy. (And I sell about 2/3 MA plans)

 

[policywunk]

Great. Now, they need to knock off benefits where people can purchase dog food. Has zero at all to do with keeping people healthy. (And I sell about 2/3 MA plans)

yeah but the dogs love it.

 

[bill3173]

Dogs lives are as important as their owners. They need to eat too. The owners may not be able to take them to the Vet, but it least they won't starve.

 

[goillini52]

Dogs lives are as important as their owners. They need to eat too. The owners may not be able to take them to the Vet, but it least they won't starve.

That'll be the next shiny object they add to MA....pet insurance.