Dec 12, 2019 - Health

Federal auditor renews concerns of Medicare Advantage gaming

A blood pressure cuff, eye light, and ear tool hang on a wall in a doctor's office.

Medicare Advantage plans almost always add new patient diagnoses. Photo: Jeffrey Greenberg/Universal Images Group via Getty Images

A new federal audit presents more evidence that private Medicare Advantage plans are fudging the data about how sick their customers are, as a way to pull in more taxpayer dollars.

Details: Medicare Advantage plans received $6.7 billion in federal funding in 2017 based on diagnoses — like cancer or heart disease — that were not reflected in the actual care patients received, according to the report from the Office of Inspector General.

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