[QUOTE=dadspet;2446425]The Villages Health (TVH) filed for Chapter 11 bankruptcy on July 3, 2025, due to significant Medicare billing discrepancies, with a reported liability of $361 million to the U.S. government.
I have a problem understanding TVH's role and how they have billing discrepancies with the US Government.
I understand that Medicare Advantage Programs (MA) have agreements with the US Government and get paid by number of subscribers. I also understand that there are adjustments that MA programs may have with the USG to adjust their payment from the USG based upon severity of their subscriber health.
MA programs have their network of providers which likely invoice the MA Program (Not the USG).
How does TVH get involved with the USG? What do they bill that would lead them to be charged with Billing discrepancies? How could it grow to $361M. Was it mistake, fraud, and where was government audit?
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