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WHAT'S WAPPENING?

CMS examines inappropriate steering of people eligible for Medicare or Medicaid into Marketplace plans

Posted by Jean A. Lentsch on 8/19/16 8:53 AM

The Centers for Medicare & Medicaid Services (CMS) issued a request for information seeking public comment on concerns that some health care providers and provider-affiliated organizations may be steering people eligible for, or receiving, Medicare and/or Medicaid benefits into Affordable Care Act-compliant individual market plans, including Health Insurance Marketplace plans, for the purpose of obtaining higher reimbursement rates. CMS also sent letters to all Medicare-enrolled dialysis facilities and centers informing them of this announcement.

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Topics: Medicare and Medicaid investigation

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