According to the report, the changes intend to prevent patients on Medicare Advantage plans, the privatized version of Medicare, from paying more than $3,400 annually in out-of-pocket charges. In addition, insurance companies could also face government scrutiny if they the charge more than traditional Medicare for dialysis, home healthcare or other services.
Insurers would not be allowed to charge sick or low-income patients more than traditional Medicare, according to the report.
According to administration officials, the new conditions must be met if insurance companies want to bid on Medicare insurance this year. In addition, the administration plans on eliminating 1,400 Medicare Advantage plans to make it easier to compare options, according to the report.
Read the Wall Street Journal’s report on the Obama administration’s changes to Medicare Advantage.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
