Article: Medicare Advantage Oversight and Reform

Government Watchdogs Urge Medicare Advantage Oversight and Reform

The Subcommittee on Oversight and Investigations of the House Committee on Energy and Commerce held a hearing this week on the need for greater oversight of Medicare Advantage (MA) organizations and plans. This hearing was triggered by several government watchdog reports that show MA plans delay and deny needed careexhibit troubling patterns of disenrollment, and cost the federal government and taxpayers more than original Medicare.

Nearly 40% of people with Medicare have chosen to receive their coverage through MA, a private option that caps some out-of-pocket expenses and may offer some additional benefits but generally requires enrollees to use restricted, in-network providers to gain any of these savings.