News Briefs: April 22, 2024

HHS Inspector General Christi Grimm testified about the “significant vulnerabilities” of risk adjustment in Medicare Advantage at an April 16 hearing before the House Committee on Energy and Commerce’s Subcommittee on Oversight and Investigations.[1] “One troubling concern is the potential for plans to game risk adjustment by overstating how sick enrollees are so the plans can receive higher payments than they should,” she said.

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