Medicare Advantage health plans have come under scrutiny for potentially wasting billions of tax dollars through home visits that result in no medical services. A recent audit found that insurers pocketed $7.5 billion in 2023 from these visits, with $4.2 billion coming from health assessments done in patients’ homes. Despite the watchdog’s call to crack down on this practice, Medicare officials are hesitant to restrict billing tied to home visits. The insurance industry argues that these visits are important for assessing patients’ health and driving follow-up care. Critics of the program point to past audits and investigations revealing exaggerated sickness claims by health plans.
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Federal Watchdog Urges Crackdown on Medicare Advantage Home Visits
