The Medicare Advantage Improper Payment Rate was 10 Percent In 2016 Equaling $16.2 Billion
The following information appeared on July 19, 2017 on Gao.gov:
In a statement from James Cosgrove, Director of Health Care, the Government Accountability Office has provided a copy of the testimony before the Subcommittee
on Oversight, Committee on Ways and Means, House of Representatives released July 19, 2017.
The Centers for Medicare & Medicaid Services (CMS) estimated that about $16 billion—nearly 10 percent—of Medicare Advantage (MA) payments in fiscal year 2016 were improper. To identify and recover MA improper payments, CMS conducts risk adjustment data validation (RADV) audits of prior payments.
To read the full press release, visit Gao.gov.