Most Program Audit Scores Improved in 2019, but Areas for Growth Remain

CMS's latest overview of program audits showed continued improvement among Medicare Advantage and Part D organizations, with the average overall audit score dropping from 1.03 in 2018 to 0.77 in 2019. Scores improved across all program audit areas except for two — Part D Formulary and Benefit Administration (FA) and Special Needs Plan Model of Care (SNP-MOC) — results that hint to sponsors where CMS is directing its energy.

 

 

SOURCE: CMS, 2019 Part C and Part D Program Audit and Enforcement Report, published Sept. 14, 2020. Visit https://go.cms.gov/3mQ1Rag.