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Originally Posted by ScottFenstermaker
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US CMS (Medicare) will be preforming more audits of MA insurers in the future. I expect more CMS clawbacks for unsupported MA risk claims made to the government. TVH is not an isolated case of clawbacks.
The writing below (link) from a healthcare technology consultant describes CMS’s new audit policy on MA plans and likely effects on medical providers such as TVH and on MA insurers such as United Healthcare and Florida Blue.
CMS Overhauls RADV Audits for 2025 | ChartRequest
For taxpayers, this is good.