Humana Medicare Advantage plan overcharged Medicare nearly $200M, audit finds

A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a federal audit.

The federal Department of Health and Human Services’ Office of Inspector General’s recommendation to repay, if approved, would be “by far the largest” audit penalty imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general.

“This [money] needs to come back to the federal government,” Bresette said.

Source: Humana Medicare Advantage plan overcharged Medicare nearly $200M, audit finds / Chicago Sun Times