Four Error Rates Went Up, and So Did Every Target
HHS's own auditor says Medicare Advantage's improper payment rate rose to 6.09 percent and the RADV audits meant to claw it back have returned nothing yet. Plus two home health survey tags that took effect the day they were written, and the change request that puts Medicare's prior authorization denial reason into the beneficiary APIs.
Every federal program that reports an improper payment rate also has to publish a target for the following year. The target is the agency saying, in writing, where it expects the number to land.
Four of the largest programs in American health care published one this year that sits above where they already are.
"What exactly is a reduction target set higher than the rate it reduces?"
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The impact tables, the code-level detail, and the rest of the analysis sit past this line.
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