Skilled Nursing News November 9, 2023
Amy Stulick

As the Centers for Medicare & Medicaid Services (CMS) looks into more oversight for Medicare Advantage (MA), some progressive lawmakers are urging caution over Medicaid Advantage plans – long lamented among those in the nursing home industry – over deceptive advertising and high rates of denial for services.

Members of Congress discussed pitfalls of Medicare Advantage plans during a press briefing on Thursday, including denials of nursing home admissions and delays in medically necessary care, even as MA plans increase their own profits, speakers said. Lawmakers called for an overhaul of the insurance option, which they called a less comprehensive private health insurance compared to traditional Medicare.

The press briefing was held during the halfway point for national open enrollment.

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Post-Acute Care, Provider
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