The federal government needs to increase its oversight over private Medicare health plans to make sure seniors have adequate access to doctors and hospitals, according to a report released this week by congressional auditors.
The General Accountability Office study found the Centers for Medicare & Medicaid Services, which administers Medicare Advantage plans, primarily relies on complaints from consumers to determine if they are having trouble getting appointments with providers.
The government reviews less than 1 percent of the information filed annually by provider networks for adequacy and accuracy. It looks only at the networks of plans entering new markets and not at those in existing markets, the GAO said.
– Health News Florida