According to a recent investigation by The Wall Street Journal, insurers involved in the Medicare Advantage program collected approximately $50 billion extra from Medicare by making questionable diagnoses. These diagnoses were often added without the knowledge of patients or their doctors, leading to higher payments from the government.
Sources:
https://finance.yahoo.com/news/insurers-bilk-medicare-50-billion-230658994.html
https://finance.yahoo.com/news/insurers-made-patients-appear-sicker-112500975.html
Insurers collected $50 billion extra from Medicare by making questionable diagnoses, often without the knowledge of patients or their doctors, per WSJ.
— unusual_whales (@unusual_whales) July 15, 2024