Medicare plans resume marketing.
by Sullivan, Leanne
All seven of the private fee-for-service Medicare plans that
voluntarily suspended marketing last summer (INTERNAL MEDICINE NEWS,
Sept. 1, p. 50) have been found to be compliant with Centers for
Medicare and Medicaid Services requirements and may resume marketing
activities for the 2008 benefit year, the agency announced. CMS
officials expressed concern over the summer that insurance brokers and
agents were engaging in deceptive practices, such as telling
beneficiaries that private fee-for-service plans are accepted by all
Medicare providers. A comprehensive review of the plans conducted by CMS
has verified that "vast improvements to their internal controls and
oversight processes" have been made. The agency also announced that
it has beefed up its oversight procedures, including requiring specific
disclaimer language in enrollee materials. "We believe the new
requirements and compliance plans build a system that is designed to
prevent marketing violations," CMS Acting Administrator Kerry Weems
said in a statement. The seven plans are United-Health Group, Blue Cross
Blue Shield of Tennessee, Humana, Sterling, Well-Care, Coventry, and
Universal American Financial Corp.
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