Health Payer Intelligence February 1, 2023
Confusion about CMS guidance and difficulties with procedure codes have led to limited encounter data for Medicare Advantage supplemental benefits.
Nearly all Medicare Advantage plans offered supplemental benefits in 2022, but CMS received limited encounter data from the plans, a report from the Government Accountability Office (GAO) found.
GAO analyzed plan benefit data for almost 4,000 Medicare Advantage plans across the country to determine the supplemental benefits plans offered in 2022 and the information CMS had on beneficiaries’ use of the benefits.
GAO also reviewed CMS regulations and guidance and interviewed officials from CMS and six Medicare Advantage plans.
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