OIG Workplan Adds Item Examining MA Plan Risk-adjusted Payments 

Situation Report | September 8, 2020

The Office of Inspector General (OIG) has updated its Work Plan.

The following item may be of interest to managed care plans.

  • Rates of Estimated Payments From Chart Reviews and Health Risk Assessments (HRAs) Across Medicare Advantage Organizations (MAOs): OIG will perform new analyses to determine whether certain MAOs and parent organizations had higher or lower amounts of risk-adjusted payments from both chart reviews and HRAs relative to their peers.