CMS nudges beneficiaries away from low-performing MA plans

Share this article:
Letter: Assisted living group pushes for industry involvement to prevent 'pension poaching'
Letter: Assisted living group pushes for industry involvement to prevent 'pension poaching'

The Centers for Medicare & Medicaid Services is encouraging around 375,00 Medicare Advantage members to re-evaluate their plans.

Letters sent to beneficiaries of 26 low-performing plans ask the individuals to “compare this plan to other options in your area.”

There are about 13.3 million Medicare Advantage members, many of whom use their coverage to pay for skilled nursing and other post-acute services.

The effort, which is the first time officials have tried to nudge beneficiaries away from specific private drug and medical plans, reflects the agency's increasing focus on quality ratings. CMS forbade one of the 26 plans from enrolling new members in October, and similar actions for other low-rated plans are expected.

The letters, sent out over the past week, tell the beneficiary, by name, that his or her plan has been listed as “poor” or “below average" since for three years running, it earned fewer than three stars under Medicare's five-star rating system.

Share this article:

More in News

Breier named new CEO at Kindred

Breier named new CEO at Kindred

Kindred Healthcare announced Thursday that it has chosen a new top executive to lead its push toward creating a mammoth national brand. Benjamin A. Breier, the company's current president and ...

Proposed managed care rule could accelerate shift away from nursing home care, official suggests

Proposed managed care rule could accelerate shift away ...

Proposed regulations slated for early 2015 likely will affect how Medicaid managed care balances home- versus facility-based long-term care, news sources reported Wednesday.

Assisted living residents say 'homelike' setting not so important

Contrary to conventional wisdom, assisted living residents might not place a high value on how "homelike" their surroundings are, suggest findings out of St. Catherine University in St. Paul, MN.