More Medicare Advantage audits reveal overcharges

Government audits just released as the result of a lawsuit detail widespread billing errors in private Medicare Advantage health plans going back years, including overpayments of thousands of dollars a year for some patients. Since 2004, privately run Medicare Advantage plans, an increasingly popular alternative to traditional Medicare, have been paid using a risk scorecalculated […]

4 Agenda Items Missing From Monday’s White House Conference on Aging

When presidents call Americans together to talk about aging, major change is possible. The first White House Conference on Aging in 1961 played a midwife’s role in the birth of Medicare; the 1971 conference led to creation of the automatic cost-of-living adjustment for Social Security, which has been in place since 1975. This year’s conference, […]

The Case Against Florida’s Proposed Managed Long-Term Care Experiment

The Florida Legislature’s 2011 Medicaid reform law is designed to move the entire Medicaid population into managed care organizations (MCO) beginning with elderly and disabled in 2013.  The state must receive waiver approval from the Center for Medicaid and Medicare Services (CMS).  The rationale for this qualitative shift in Medicaid policy is that it will […]