Grassley Questions CMS, Department Of Justice On Medicare Advantage Fraud

Sen. Chuck Grassley (R-IA) says CMS needs to implement safeguards to help reduce the risk of Medicare Advantage fraud, waste and abuse in light of reports that plans are manipulating risk scores to make patients appear sicker than they are and is asking how the Department of Justice is working with CMS to investigate this kind of fraud. “With the reported increase in risk score gaming, and the monumental cost that the taxpayer will shoulder for such wrongdoing, it is...