Healthcare Business Management Association - HBMA
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Medicare Advantage Plans and Risk Score Fraud
By Julia Leo

Medicare Advantage Plans (MA Plans) are a "type of Medicare health plan offered by a private company that contracts with Medicare" to provide beneficiaries with all Part A and Part B benefits for which they are eligible. Beneficiaries must be enrolled in Medicare Part A and Part B in order to join an MA Plan. These plans can take several forms, including health maintenance organizations, preferred provider organizations, and private fee-for-service plans, as well as medical savings account plans and special needs plans.

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