Help

BI’s Article search uses Boolean search capabilities. If you are not familiar with these principles, here are some quick tips.

To search specifically for more than one word, put the search term in quotation marks. For example, “workers compensation”. This will limit your search to that combination of words.

To search for a combination of terms, use quotations and the & symbol. For example, “hurricane” & “loss”.

Employee Benefits

Watchdog says Humana MA plan was overpaid by as much as $27.3 million

April 25, 2023 Reprints

Humana Inc.’s Medicare Advantage plan, HumanaChoice, received an estimated $27.3 million in overpayments in 2015 and 2016, according to a federal audit, reports Becker’s Payer Issues. The audit by the Department of Health and Human Services’ Office of Inspector General sampled 210 enrollee-years for high-risk diagnosis codes. OIG's audit found $480,295, which the agency requested Humana repay. The agency did not request the total amount of estimated overpayments for the audit period, because of a recent ruling that audit findings cannot be extrapolated past 2018.

Help

Watchdog says Humana MA plan was overpaid by as much as $27.3 million

Readers Poll

Most Read in Employee Benefits

Sign up now for free access to this article and much more.

If you are already registered with Business Insurance, click here to Login

Please tell us a bit more about yourself in order to continue

About

Advertise

Reprints and Licensing

Resources