PT  - JOURNAL ARTICLE
AU  - Bohler, Forrest
AU  - Adashi, Eli Y.
TI  - Addressing the Marketing Practices of Medicare Advantage Plans
AID  - 10.3122/jabfm.2023.230384R1
DP  - 2024 May 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 494--496
VI  - 37
IP  - 3
4099  - http://www.jabfm.org/content/37/3/494.short
4100  - http://www.jabfm.org/content/37/3/494.full
SO  - J Am Board Fam Med2024 May 01; 37
AB  - The Medicare Advantage (MA) Program, home to nearly half of the eligible Medicare population, has recently come under increased scrutiny. Recent investigations conducted by the United States Senate Committee on Finance and Centers for Medicare & Medicaid Services (CMS) have uncovered marketing practices of MA insurance agents that “were not complying with current regulation and unduly pressuring beneficiaries, as well as failing to provide accurate or enough information to assist a beneficiary in making an informed enrollment decision.” These findings come at a time in which MA programs are under investigation for denials of prior authorization requests that fall within Medicare guidelines for covered health services. In this Commentary we consider the backdrop for the growing scrutiny of the MA program and the implications thereof to its future trajectory.