Advertisement

Payer

Bright Health Group is significantly reducing its business operations and will no longer offer individual and family health plans through Bright Healthcare or offer Medicare Advantage plans outside California and Florida.

Though Medicare Advantage was designed to help lower federal healthcare expenditures, payers have exploited the program through elaborate schemes that make patients appear sicker than they actually are — thereby leading to higher payments from CMS, according to an Oct.…

Advertisement

Here are seven recent findings from HHS' oversight arm reported by or shared with Becker's since Sept. 22. 

Advertisement