Posted 4/4/2024, 12:00:00 PM
CMS Strengthens Medicare Rules to Protect Patients and Expand Benefits
- Sets new rules on agent/broker compensation to prevent steering Medicare enrollees based on financial incentives rather than health needs
- Limits how marketing organizations can share personal Medicare beneficiary data to reduce aggressive sales tactics
- Improves Medicare Advantage access to behavioral health care by adding new provider type standards
- Requires Medicare Advantage plans to notify enrollees mid-year about unused supplemental benefits to improve benefit utilization
- Analyzes Medicare Advantage utilization management policies for disproportionate impacts on disadvantaged enrollees and makes results public