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Medicare Advantage health insurersKFF Health News
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73% Informative
A decade ago , federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars .
The rule would have required health plans to identify overpayments by CMS and refund them to the government.
Newly released court depositions show that agency officials repeatedly cited concern about pressure from the industry.
The 2014 decision is at the center of a multibillion-dollar Justice Department civil fraud case against UnitedHealth Group .
The government argues that UnitedHealth Group knew that many conditions it had billed for were not supported by medical records but chose to pocket the overpayments.
The complex case has featured years of legal jockeying, even pitting the recollections of key CMS staff members against those of UnitedHealthcare executives.
DOJ calls the flap over the ill-fated regulation a "red herring".
VR Score
77
Informative language
81
Neutral language
39
Article tone
formal
Language
English
Language complexity
60
Offensive language
not offensive
Hate speech
not hateful
Attention-grabbing headline
detected
Known propaganda techniques
not detected
Time-value
short-lived
External references
7
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