Payment Integrity & Oversight
Expert articles and analysis related to payment integrity & oversight.
AI Summary — Last 24 Hours
Payment-integrity pressure is intensifying around Medicare Advantage risk adjustment: Independence Blue Cross agreed to pay $22.5M to resolve allegations tied to inaccurate MA diagnoses, while federal judges reportedly pressed HHS on its defense of RADV audit policy in Humana’s challenge—raising near-term uncertainty for MA plans, provider risk-contract partners, and ACOs benchmarking against MA coding economics (settlement, [RADV lawsuit](https://www.statnews.com/2026/10/05/h
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