Federal officials have failed to address overpayments to Medicare Advantage health insurance plans, potentially costing taxpayers billions. The private insurance industry has gained political power through lobbying efforts and industry pressure, leading to reduced financial penalties. A Department of Justice civil fraud case against UnitedHealth Group revealed over $2 billion in alleged fraud. Despite efforts to curb overpayments, CMS has not collected owed funds and faces industry resistance. Critics argue that stricter oversight and enforcement are needed to address these overpayments. The industry is spending heavily on lobbying efforts to counter criticism and maintain their influence.
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The Medicare Advantage Influence Machine
