
Defending Medicare Advantage: Our Commitment to Seniors and Integrity
2025-07-09
Author: Charlotte
Standing Strong in Medicare Advantage
We stand resolutely behind the integrity of our Medicare Advantage program, which provides invaluable support to millions of seniors across the nation. As a key partner in public health, we embrace ongoing evaluations of our practices and policies to ensure we are serving our communities effectively.
Responding to Criticism from The Wall Street Journal
A recent article in The Wall Street Journal perpetuates a troubling narrative against Medicare Advantage, showcasing incomplete data and a flawed understanding of the program’s operations. This isn't just a random opinion; it feels like part of an ongoing campaign—one that misrepresents our commitment and the realities of our work.
Proven Accuracy and Integrity
Our commitment to compliance and integrity has been validated by independent audits conducted by CMS, which confirm that we are among the leaders in our industry's coding practices. Moreover, after a decade-long investigation by the Department of Justice, a Special Master found no evidence of wrongdoing or overpayments on our part.
A Call for Transparency
We recognize the importance of transparency in the Medicare Advantage program. That’s why we advocate for annual audits across all Medicare Advantage plans, promoting trust among stakeholders and countering misleading narratives about overpayments. Our dedicated team of certified clinical professionals upholds the highest standards in our programs.
Enhancing Oversight and Assurance
To bolster our commitment to accountability, we’re introducing a robust, independent third-party coding oversight and audit process. This effort will enhance our existing quality assurance measures, ensuring that stakeholders can share our confidence in both our performance and compliance.
Our Commitment to Better Outcomes
Ultimately, our focus remains clear: we are dedicated to delivering improved health outcomes, expanded benefits, and lower costs for the seniors we serve. Our mission is to protect and elevate the Medicare Advantage program while consistently striving for excellence.