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11. 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

12. 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

13. 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

16. 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

17. 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.)