Medicare Ratings Of Medicare Advantage Plans A Farce

The Centers for Medicare and Medicaid Services recently sanctioned Cigna for threatening the health and safety of its members in Medicare Advantage plans. But, notwithstanding Cigna’s sanction and “its longstanding history of noncompliance with CMS requirements,” anew CMS policy allows Cigna to retain its multi-star ratings, making Medicare ratings of Medicare Advantage plans a farce.

The sanctions against Cigna, imposed in January 2016, preclude Cigna from enrolling new Medicare Advantage members or marketing its plans to prospective members. According to CMS, “Cigna’s conduct poses a serious threat to the health and safety of Medicare beneficiaries.” But, the new CMS policy means that Cigna is still eligible to receive hundreds of millions of dollars in financial rewards from Medicare.

– Our Future

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