RT Journal Article
SR Electronic
T1 Addressing the Marketing Practices of Medicare Advantage Plans
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 494
OP 496
DO 10.3122/jabfm.2023.230384R1
VO 37
IS 3
A1 Bohler, Forrest
A1 Adashi, Eli Y.
YR 2024
UL http://www.jabfm.org/content/37/3/494.abstract
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.