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Medical Daily
Medical Daily
Health
Cole Mercer

Appeals Judges Appeared Skeptical of HHS as Humana Fights Medicare Advantage Overpayment Audit Rule in Fifth Circuit

A federal appeals court panel appeared skeptical of the government's defense of a Medicare Advantage audit rule during oral arguments on Oct. 5, STAT reported. The rule would make it easier for federal officials to recover billions of dollars from private insurers that are paid more for sicker patients without proper documentation.

The case, Humana v. Kennedy, sits at the center of a long fight over how much taxpayers pay private Medicare plans. More than 35 million Americans are enrolled in Medicare Advantage, and the outcome could shape how aggressively the government polices plan billing.

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