CMS Takes Aim at Medicare Advantage Fraud

At the end of January, the Centers for Medicare and Medicaid Services (CMS) sent shockwaves through the healthcare industry when it proposed a substantially smaller-than-expected increase in the rate it will pay private insurers to administer Medicare Advantage (MA) in 2027. The news stunned Wall Street and sent big insurance stocks into free fall, with UnitedHealth Group losing almost 20 percent of its value in a single day.

This is in stark contrast to last year, when the Trump administration...