Insurers have directed their scrutiny toward the overhaul to risk adjustments that have been proposed for Medicare Advantage plans, telling the Centers for Medicare and Medicaid Services that the plan unfairly targets prior audits as far back as 10 years, Healthcare Finance reports.
In a request for comments that were due last week, insurance industry group AHIP told CMS that the proposed changes to the Risk Adjustment Data Validation (RADV) audits “undermine confidence in CMS’ willingness to be a fair partner with the private sector.”
“It injects uncertainty and risk into the system,” wrote AHIP. “If finalized, the rule could cause seniors and hardworking taxpayers to see higher costs, reduced benefits, and fewer MA plan options.” Read more.
