Medicare Advantage 'Shortfalls' Need Attention, Senators Say

Medicare Advantage: The government 'still doesn’t know how much these plans are paying for patient services and how much patients are being forced to pay out-of-pocket,' Sen. Cortez Mastro says.

A stethoscope with a fake broken capsule on a yellow background.
(Image credit: Getty Images)

A bipartisan group of U.S. senators are calling for Medicare Advantage (MA) plan providers to improve transparency by reporting how much they are actually paying for patient services and how much patients are paying.

The group — Sens. Elizabeth Warren (D-MA), Catherine Cortez Masto (D-NV), Bill Cassidy (R-LA) and Marsha Blackburn (R-TN) — sent a letter on December 7 to the Center for Medicare and Medicaid Services regarding "shortfalls" in the agency's data collection and reporting practices for MA plans. The letter comes on the heels of a new bill the group introduced last month that seeks to help shore up those shortfalls.

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Esther D’Amico
Senior News Editor

Esther D’Amico is Kiplinger’s senior news editor. A long-time antitrust and congressional affairs journalist, Esther has covered a range of beats including infrastructure, climate change and the industrial chemicals sector. She previously served as chief correspondent for a financial news service where she chronicled debates in and out of Congress, the Department of Justice, the Federal Trade Commission and the Commerce Department with a particular focus on large mergers and acquisitions. She holds a bachelor’s degree in journalism and in English.

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