Advisory Board May 4, 2022

CMS on Friday released a final rule for Medicare Advantage (MA) and Part D plans for 2023—a move that strengthens oversight of these plans and adds new consumer protections.

Infographic: What seniors want when shopping for Medicare Advantage supplemental benefits

CMS to strengthen oversight of MA, Part D plans

Under the final rule, plans applying for MA approval will need to demonstrate they have a sufficient provider network before CMS will approve a new or expanded network.

However, to mitigate potential difficulties MA organizations may face with building a full network, CMS will allow applicants a 10-percentage point credit toward the percentage of beneficiaries residing in certain time and distance standards. In addition, organizations will be able to provide letters...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Provider
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