Mike Adelberg discussed how Medicare Advantage (MA) plans are incentivized to detect conditions that yield risk adjustment bumps after a recent U.S. Department of Health and Human Services Inspector General report suggested that MA plans have collected $6.7 billion in improper payments.
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"The system [incentivizes] MA plans to work very hard to detect conditions that yield risk adjustment bumps, and so the MA plans work very hard to detect.” Mike Adelberg, POLITICO
