DOTmed March 8, 2024
By Lindsay Burrows
Over the years, Medicare Advantage (MA) managed care plan violations have made national headlines for lack of transparency in reporting, access to care issues, and questionable financial practices. MA plan accountability is especially important as MA accounts for over 50% of the Medicare enrollment, and the federal government is anticipating an expenditure in excess of 7 trillion dollars in the next decade.
Despite legal, financial, and ethical ramifications, MA plans have largely failed to provide payment and coverage for the intended benefits offered to beneficiaries. MA plans are intended to cover all Medicare services plus additional benefits that may include pharmacy, dental, vision, hearing care, transportation, and fitness memberships, yet the Office of Inspector General (OIG) recently...
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