New research is challenging how Medicare Advantage home health reimbursement is structured. A study found MA plans receive payments based on beneficiary health diagnoses, incentivizing insurers to add more diagnoses through home visits — with investigators finding roughly one-third of "questionable" added diagnoses originated during home visits, raising significant concerns over payment accuracy and program integrity.
🔗 Read More: https://distilinfo.com/2026/07/27/advantage-home-health-reimbursement/
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