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Medicare Advantage Chart Reviews Are Associated with Billions in Additional Payments for Some Plans
BACKGROUND: In the Medicare Advantage (MA) program, private plans receive capitated payments that are adjusted based on their enrollees’ number and type of clinical conditions. Plans have the ability to review charts to identify additional conditions that are not present in claims data, thereby incr...
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| Publicado no: | Med Care |
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| Main Authors: | , |
| Formato: | Artigo |
| Idioma: | Inglês |
| Publicado em: |
2021
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| Assuntos: | |
| Acesso em linha: | https://ncbi.nlm.nih.gov/pmc/articles/PMC7855237/ https://ncbi.nlm.nih.gov/pubmed/32925467 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1097/MLR.0000000000001412 |
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