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GAO: Medicare Advantage: Action Needed to Ensure Appropriate Payments for Veterans and Nonveterans

April 1, 2016

Pursuit's Take

In fiscal year 2010, the Department of Veterans Affairs (VA) health care system provided $2.4 billion in inpatient and outpatient services to the 833,684 veterans enrolled in Medicare Advantage (MA), a private plan alternative to Medicare fee- for-service (FFS). These services likely resulted in lower overall payments to MA plans. However, the appropriateness of these lower payments is uncertain, given potential differences in the proportion of services veterans enrolled in MA plans and Medicare FFS receive from VA.

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