Medical Xpress April 28, 2022
Coverage for eligible, necessary care is denied each year to tens of thousands of seniors with private Medicare Advantage plans, U.S. federal investigators say.
In a report released Thursday, the team from the inspector general’s office of the U.S. Department of Health and Human Services said Medicare needs to improve oversight of these plans and strengthen enforcement against those private insurance companies with a pattern of improper denials of coverage.
About 28 million older people have Medicare Advantage plans, which offer privatized versions of Medicare that are often cheaper and provide a greater range of benefits than the traditional government program.
But the HHS findings challenge claims by the industry’s main trade group that Medicare Advantage “delivers better services, better...
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