Navigating a Rocky Relationship—Provider-Managed Care Disputes Continue
This Briefing is brought to you by AHLA’s Health Care Liability and Litigation Practice Group.
- June 19, 2024
- Tara Ravi , Parker Hudson
- Grace Blood , Parker Hudson
- Kristen Bond Dobson , Parker Hudson
Currently, more than half of all eligible Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans administered by private payers rather than traditional Medicare. As the number of MA enrollees grows, so, too, do payment disputes between MA plans and providers, as well as government oversight of the MA program. This article examines recent trends in MA audits, litigation involving MA plans, and intervention by the Centers for Medicare & Medicaid Services (CMS).
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