decisionhealth Newsletters, Part B News - 2008 Issue 8 (August)
CMS: No more mid-year MA plan changes
Subscribe or sign in to view the full article.
Article Overview
This article explains a CMS final rule affecting Medicare Advantage plan administration, with emphasis on the agency’s move to restrict mid-year benefit changes and how that policy may affect plan bids and benefit design. It is relevant to Medicare Advantage stakeholders, plan administrators, and coding/billing professionals who monitor payer policy and regulatory updates.
Why This Topic Matters
CMS payment and benefit policy changes can affect MA plan operations, beneficiary cost sharing, and how plans prepare annual bids. Readers who work with Medicare Advantage coverage and reimbursement policy will want to know what changed and which plan types are affected.
What You Will Learn
- What CMS changed in its Medicare Advantage policy
- How the final rule relates to mid-year benefit changes
- Why the agency says the policy matters for MA plan bids
- Which broad types of MA plan sponsors are excluded from the change
Who Should Read This
- Medicare Advantage plan administrators
- Health plan compliance teams
- Medical billing and coding professionals
- Healthcare reimbursement analysts
- Managed care policy readers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com