CMS Considers Improvements Based on Plan Feedback:  Spring Conference

CMS is considering feedback received from plans, such as updating manual chapters more frequently, improving beneficiary plan selection process, developing more beneficiary friendly materials and streamlining the Appeals, Audit and Star Rating processes, the agency announced at the 2017 MA & PDP Spring Conference May 10.   

Topics covered at the annual conference included Auto-Forwarding Coverage Determinations to the Independent Review Entity (IRE), Summary of Benefits, Section 504, CAHPS Measures, Provider Directory Review, Care Coordination and the Social Security Initiative. Read More

CMS Reviews Online Provider Directory Accuracy

CMS conducted its first round of reviews to assess the accuracy of Medicare Advantage (MA) online provider directories between February and August of 2016. In January, CMS issued its report of this review and provided insight into the primary findings and implications for the future.

The CMS review assessed the accuracy of 54 Medicare Advantage Organizations (MAOs), with almost 6,000 total providers reviewed. The overall results of the review were that 45 percent of the provider directory locations listed were inaccurate. Read More