tci Medicare Compliance & Reimbursement - 2008 Issue 20

Medicare Advantage: CMS To Tighten Protections For Medicare Advantage

Agency proposes $25,000 penalty per enrollee for plans that violate standards The Centers for Medicare & Medicaid Services is on the move to stamp out marketing abuse in Medicare Advantage health plans and Medicare prescription drug plans. In a May 8 press release, CMS says it is considering converting current guidelines into regulations and creating new regulations -- changes that will help all beneficiaries, including those receiving the low-income subsidy and those enrolled in special-needs plans. CMS Acting Administrator Kerry Weems says in the release that the agency's proposals for new marketing standards for Medicare Advantage are aimed...

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