Modern Healthcare January 3, 2018
The White House has signed off on the CMS’ proposal to ensure Medicare Advantage plans have adequate provider networks.
Starting next year, the CMS will start reviewing Medicare Advantage networks on three-year cycles rather than only when a company applies to be or renews their status in the program. The agency will also conduct intermediate full network reviews under certain circumstances, as when Medicare beneficiaries report access issues.
“The triennial review cycle will help ensure a consistent process for network oversight and monitoring,” the agency said in a notice on the White House’s website.
Some large players like the Blue Cross and Blue Shield Association, which represents 36 Blues plans, pushed back on the policy change, as they wanted the...
Today's Sponsors
Today's Sponsor