Medicare Rejects Several Requests From Insurers For Changes In Proposed Advantage Plan Rules
Insurers sought some relief on the proposals, which are now being evaluated by the Office of Management and Budget. Meanwhile, CBS News offers some tips for consumers thinking about purchasing a Medicare Advantage plan when open enrollment begins in October.
Modern Healthcare:
CMS Shuts Down Industry Concerns Over Medicare Advantage Vetting
The CMS won't soften its request for greater authority to ensure Medicare Advantage plans have adequate provider networks, despite insurer calls for clarity and flexibility. The CMS wants the plans to upload their networks to a central federal database for review if they haven't undergone an entire CMS network review in the previous three years. The White House's Office of Management and Budget must approve the agency's proposal. But insurers say the proposal is vague and they're concerned they could face financial penalties without additional guidance. (Dickson, 8/25)
CBS News:
Big Changes Expected In Many 2018 Medicare Advantage Plans
As if there isn't enough to worry about when it comes to finding health insurance, add this item to the list: Medicare Advantage. Changes in plan structures and a dearth of insurers in rural areas may leave consumers with fewer choices and more confusion in the upcoming Medicare open enrollment period, which begins October 15. ... here's a preliminary glimpse at what you need to watch out for in the year ahead. (Konrad, 8/28)