Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...
In 2021, UnitedHealth Group received 42% of the $33 billion in additional Medicare Advantage payments from differential coding. Past research has found differences in coding intensity across MA ...
Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens of billions of dollars more than if traditional Medicare had covered the ...