Medicare Advantage Insurers Break the Rules and Pay Almost Nothing for It
Ben Sullivan
Six dollars and fifty cents. That is, give or take, the largest fine the federal government has ever levied on a Medicare Advantage insurer per patient enrolled. It happened once, in 2019. Most years the figure stays below three dollars. Meanwhile the same insurers receive, on average, somewhere in the neighbourhood of $15,000 per enrollee annually from the federal government. Do the arithmetic and you start to understand why health policy researchers at Brown University got a little alarmed...