What's Happening?
A federal judge has struck down a Biden-era regulation that increased risk adjustment audits for Medicare Advantage plans. The ruling found the Department of Health and Human Services violated the Administrative Procedure Act by failing to notify the industry of changes. The decision impacts efforts to redesign audits and address overpayments in the program.
Why It's Important?
The ruling is a significant win for Medicare Advantage insurers, affecting the oversight and financial management of the program. It raises questions about regulatory processes and the balance between government oversight and industry interests. The decision may influence future policy changes and impact the administration's efforts to address healthcare costs.
