The House Energy and Commerce subcommittee held a hearing on June 24th to more closely examine Medicare Advantage (MA) plans. Enrollment in MA continues to grow, currently reaching roughly 27 million people, making the program a vital one for the health of America’s seniors. Witnesses sharply criticized MA plans for denying seniors access to critical health care services while inflating the payments that plans receive. They recommended that the federal government provide stricter guidance on clinical criteria for coverage decisions, monitor disenrollment numbers, and strengthen fraud and abuse audits. Given the recent focus on MA plans, we expect future rulemaking or guidance related to this issue. Read More >>> 

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