Two ranking House Republicans said that the CMS must further tighten marketing and sales rules for Medicare Advantage plans, and called on the agency to allow some beneficiaries to quit a plan within 10 days of sign-up.
In a draft letter addressed to acting CMS Administrator Kerry Weems, Rep. Dave Camp (R-Mich.), the top Republican on the Ways and Means Health Subcommittee, and Rep. Jim McCrery (R-La.), the ranking Republican on Ways and Means, called on the agency to rein in the enroll-at-all-costs attitude some Medicare Advantage plans have adopted. The letter urges a ban on door-to-door sales and cold calls, and would prohibit sales agents from cross-selling nonhealthcare-related products.
The measures closely mirror a list of agreed-upon restrictions supported by Americas Health Insurance Plans and nine insurance companies that was presented to members of the Senate Finance Committee last week.
Plans that engage in fraudulent activities and unethical sales agents jeopardize the reputation of (Medicare Advantage) and have no place in the Medicare program, McCrery and Camp said in the letter.
The federal government pays Medicare Advantage plans an average of 13% more per enrollee than it does traditional Medicare, roughly translating to about $10 billion more per year, according to the Medicare Payment Advisory Commission. -- by Matthew DoBias
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