RADAR on Medicare Advantage | New Third-Party Marketing Oversight Duties Have Industry Scrambling Before AEP

After observing a high volume of marketing-related complaints that the federal government believes are driven by the actions of third-party marketing organizations (TPMOs), CMS this month is implementing several new requirements aimed at protecting Medicare beneficiaries as they compare coverage options during the 2023 Annual Election Period

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Provider Access & Availability Surveys: Is Your Plan Meeting Access to Care and Appointment Availability Requirements?

The Centers for Medicare & Medicaid Services (CMS) requires that all health plans have written standards for access to care timeliness and member services. Your health plan is required to: Most states have a standard set requirement for primary and specialty care access and availability. Is your

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