NLM Digital Collections

Search

Start Over Subjects Medicare Part C -- economics ✖Remove constraint Subjects: Medicare Part C -- economics

11. Medicare Advantage program integrity: CMS's efforts to ensure proper payments and identify and recover improper payments : testimony before the Subcommittee on Oversight, Committee on Ways and Means, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, July 19, 2017
Subject(s):
Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicare Part C -- economics
Fee-for-Service Plans -- economics
Insurance Claim Review
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

12. Billions in estimated Medicare Advantage payments from chart reviews raise concerns

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, December 2019
Subject(s):
Insurance, Health, Reimbursement
Medical Records -- economics
Medicare Part C -- economics
Quality of Health Care
Risk Adjustment
United States
United States. Department of Health and Human Services
Centers for Medicare & Medicaid Services (U.S.)

13. Billions in estimated Medicare Advantage payments from diagnoses reported only on health risk assessments raise concerns

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2020
Subject(s):
Fraud -- prevention & control
Government Regulation
Medicare Part C -- economics
Risk Adjustment -- economics
United States
United States. Department of Health and Human Services

15. Medicare Advantage organizations are missing opportunities to use ordering provider identifiers to protect program integrity

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, April 2021
Subject(s):
Data Analysis
Fraud -- prevention & control
Government Regulation
Medical Order Entry Systems
Medicare Part C -- economics
United States
United States. Department of Health and Human Services

16. Some Medicare Advantage companies leveraged chart reviews and health risk assessments to disproportionately drive payments

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2021
Subject(s):
Government Regulation
Health Status Indicators
Insurance Carriers -- legislation & jurisprudence
Medical Records -- economics
Medicare Part C -- economics
Quality of Health Care -- legislation & jurisprudence
United States
United States. Department of Health and Human Services

17. Medigap enrollment among new Medicare beneficiaries: how many 65-year olds enroll in plans with first-dollar coverage?

Author(s):
Jacobson, Gretchen, author
Neuman, Tricia, author
Damico, Anthony, author
Publication:
Menlo Park, CA : Henry J. Kaiser Family Foundation, April 2015
Subject(s):
Cost Sharing -- economics
Financing, Personal -- economics
Insurance Coverage -- economics
Insurance, Health -- economics
Insurance, Medigap -- economics
Medicare -- economics
Medicare Part C -- economics
United States

18. Some Medicare Advantage Organization denials of prior authorization requests raise concerns about beneficiary access to medically necessary care

Publication:
Washington, DC : U.S. Department of Health and Human Services, Office of Inspector General, April 2022
Subject(s):
Government Regulation
Insurance, Health, Reimbursement -- economics
Medicare Part C -- economics
Medicare Part C -- organization & administration
Prior Authorization -- economics
Time-to-Treatment
United States
United States. Department of Health and Human Services

19. Medicare Advantage: Continued monitoring and implementing GAO recommendations could improve oversight : testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, June 28, 2022
Subject(s):
Fraud -- prevention & control
Government Regulation
Medicare Part C -- economics
United States
Centers for Medicare & Medicaid Services (U.S.)