“Insurers received nearly $50 billion in payments from 2019 to 2021 due to diagnoses they added themselves for conditions that no doctor or hospital treated. Many of the insurer-driven diagnoses were outright wrong or highly questionable.”
The One-Hour Nurse Visits That Let Insurers Collect $15 Billion From Medicare
Information gathered from Medicare Advantage patients in their homes triggered extra payments; ‘It made me cringe’
wsj.com