• Opinion: Upcoding: one reason Medicare Advantage companies pay clinicians to make home health checkups

    16 days ago - By STAT

    At the start of 2023, an estimated 2.5 million Americans age 65 and older began using Medicare Advantage programs. Some made this choice in response to aggressive marketing campaigns. This brings the total enrollment of Medicare Advantage plans to nearly 31 million.
    One unexpected “benefit” of these plans is an offer by the insurance company sponsoring the plan to send a nurse or physician's assistant, often from a startup company, to an individual's home. There is no charge for the visit, and the insurance company may even pay the beneficiary for agreeing to do this. Some companies call...
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