The New York Times (4/28, Abelson) reports, “Every year, tens of thousands of people enrolled in private Medicare Advantage plans are denied necessary care that should be covered under the program, federal investigators concluded in a report published on Thursday.” The investigators, from HHS’ Office of the Inspector General, “urged Medicare officials to strengthen oversight of these private insurance plans, which provide benefits to 28 million older Americans, and called for increased enforcement against plans with a pattern of inappropriate denials.” AMA President-Elect Jack Resneck Jr., M.D., “said the plans’ denials had become widespread.” The AMA “has been aggressively lobbying lawmakers to impose stricter rules.”
Related Links:
— “Medicare Advantage Plans Often Deny Needed Care, Federal Report Finds “Reed Abelson, The New York Times, April 28, 2022