To better police inappropriate marketing by Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) should gather more and better information on the extent of these improper practices, said the Government Accountability Office (GAO).
In its report (http://www.gao.gov/new.items/d1036.pdf), released January 19, the GAO found that the CMS had taken compliance and enforcement actions for inappropriate marketing against at least 73 organizations that sponsored Medicare Advantage plans (private capitated health plans) from January 2006 through February 2009. These organizations represented about 7.4 million beneficiaries (about 71% of all Advantage plan beneficiaries).
Mitka M. Medicare Advantage. JAMA. 2010;303(10):929. doi:10.1001/jama.2010.232