Skilled Nursing News March 14, 2025
Dr. Mehmet Oz vowed to reduce the bureaucratic footprint of the Centers for Medicare & Medicaid Services (CMS) if confirmed to lead the federal agency. He also acknowledged problems with Medicare Advantage plans and criticized the preauthorization process and overbilling by insurers.
During his appearance before the Senate Committee on Finance Friday, Oz seemed to step back from his earlier, more enthusiastic endorsement of MA plans.
In addition to agreeing with Senators on clamping down on upcoding – a practice associated with submission of codes for more acute and costly diagnoses than necessary – and fixing problems with the preauthorization process for services, he also suggested a more streamlined and efficient preauthorization system in response. Oz also fielded questions from...