Commonwealth Fund September 17, 2024
TOPLINES
The Medicare complaints process aims to give beneficiaries an outlet for addressing problems, but advocates and stakeholders say the process is difficult to navigate
Medicare should make it easier for beneficiaries to file complaints about their Medicare plans and make complaints data publicly available to improve transparency and accountability
The Medicare complaints process allows beneficiaries to file complaints or grievances about the quality of the services they receive from Medicare Advantage (MA) and Part D prescription drug plans and their providers. It is distinct from the appeals process, which is intended to dispute denials and challenge costs of care. The complaints process serves two important purposes: to give beneficiaries an outlet to address problems they face with Medicare plans...
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