Have the chickens finally come home to roost? What happens to UHG's slim margins if we can't upcode to game the system? What happens to Optum when the products we sell to facilitate this for UHC and other Payers can't be sold?
Is real time settlement all we have and why can't Epic or someone else do it better, cheaper, faster? Layoffs are just getting started! I worry for the 110k of us working in the USA doing anything other than payment transfers.
Dr. Oz on the future of US healthcare: 'There is a new sheriff in town'
https://finance.yahoo.com/news/dr-oz-on-the-future-of-us-healthcare-there-is-a-new-sheriff-in-town-202833620.html
“The whole point of launching Medicare Advantage was to give seniors options," Oz said. "But in the middle of all this, if it turns out that Medicare Advantage is costing us a lot more than fee-for-service, you’re violating the whole premise.”
Oz said CMS is now taking aggressive steps to recover funds [paid out due to upcoding FWA] and send a message: “We have a process called RADV that allows us to go back to the late teens and, for the first time, audit Medicare Advantage companies,” he said. “Based on what we find, we’re going to pull money back from them. We expect it will be billions and billions of dollars. But more importantly, we’re sending a message to the industry: Listen, I want you to succeed. I want you to thrive, but not at the expense of the American taxpayer.”