As
the Center for Medicare Advocacy has long noted, the Medicare Advantage (MA)
program is in significant need of heighted regulation and oversight, not just
for the sake of the Medicare program’s financial footing, but for the sake of
the beneficiaries enrolled in MA plans. The Centers for Medicare & Medicaid
Services (CMS) has recently issued proposed rules that would address some of
the harmful barriers to care currently facing MA enrollees. While we are still
reviewing the rules, we note that there are provisions – particularly with
respect to marketing and plan prior authorization – that address many of the
concerns that we and others have raised. We welcome this movement towards
increased oversight and thank CMS for being responsive to many such concerns.
We also look forward to continuing to work with CMS and other stakeholder to
address issues that are not reflected in the proposed rules.
- For details on effects of the proposed
rules, see: https://medicareadvocacy.org/proposed-rules-impact-ma-and-part-d/
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