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Were patients really sicker? Lawsuits say Medicare Advantage plans inflated diagnoses to boost payments

By Lisa Schencker  | November 22, 2014 For an 82-year-old man with diabetes and rheumatoid arthritis, the CMS will pay a Medicare Advantage plan a certain amount of money each month. Add renal failure and hemiplegia to the list of maladies, and

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Controversial home visits duck Medicare’s radar, for now

By Bob Herman  | February 27, 2016 The most interesting thing about the preliminary rate notice for 2017 Medicare Advantage plans may be what federal policymakers left out. The thick document made no mention of health-risk assessments, which surprised the industry.

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Protected: BCBS Tennessee Explains CMS’s Commission-Timing Regulation (Contact us for agnt psswrd)

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