Congressional advisors grapple with Medicare Advantage data that reveals plenty on excess, but not much on access

Congressional advisors grapple with Medicare Advantage data that reveals plenty on excess, but not much on access
McKnight's Long-Term Care News, by Kimberly Marselas; 1/16/24
Medicare Advantage risk scores continue to rise, inflating payments to the private plans that far exceed their actual costs, staff for a Congressional advisory commission warned members Friday. The Centers for Medicare & Medicaid Services uses risk scores, based on patient demographics and their needs, to establish payments to plans during each bid season.