News

Healthcare And Intellectual Property: Why U.S. Administrative Codes Are Due For An Update
There's an opportunity for tech leaders, the American Medical Association and authors of proprietary healthcare-related ...
MedPage Today on MSN3d
Intensive Coding by Medicare Advantage Plans Gleaned an Extra $33 Billion in 2021
Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens ...
Modern Healthcare1d
Medicare Advantage plans reaped $33B extra from 'coding intensity'
The average Medicare Advantage patient risk score was 1.26, 0.19 higher than the average fee-for-service Medicare risk score, ...
Coding differences in Medicare Advantage plans led to $33 billion in excess revenue to insurers, study finds
An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how ...
Medicare Advantage’s diagnosing tactics made insurers like UnitedHealthGroup $33 billion richer
Medicare Advantage plans are paid more for sicker members and less for healthier members, which provides an incentive for MA ...
Medicare Advantage plans squeeze billions more from federal government, study says
Medicare Advantage plans are squeezing billions out of the federal government by billing more for patient care, a new study ...
The American Journal of Managed Care2d
Differential Coding Inflated Medicare Advantage Payments by $33 Billion in 2021, Study Finds
UnitedHealth Group received 42% of the $33 billion in additional Medicare Advantage payments from differential coding.
EurekAlert!2d
Coding differences in Medicare Advantage plans led to $33 billion in excess revenue to insurers
An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how much coding differs between insurers and how much extra revenue insurers ...