ADA responds to CMS request for information on Medicare Advantage plans

The ADA has suggestions for how the Centers for Medicare & Medicaid Services can improve Medicare Advantage plans and their dental benefits, the Association said in an Aug. 31 response to the agency’s request for information.

Medicare Advantage plans, sometimes called Medicare Part C, are a type of health plan offered by Medicare-approved private companies that must follow rules set by Medicare.

In the comments, the ADA addressed the following areas on how CMS can improve the plans: expanding access, collection and reporting of health equity data, medical loss ratio, and engaging partners.

Regarding how Medicare Advantage plans use rebate dollars to advance health equity and address the social determinants of oral health, the ADA said it believes CMS should collect and analyze data on supplemental benefits for lower income enrollees.

“The ADA believes that it is critical that CMS analyze data on supplemental benefits in the MA program, including who is enrolled by ages and income, what is covered and what benefits are being utilized,” wrote ADA President Cesar R. Sabates, D.D.S., and Executive Director Raymond A. Cohlmia, D.D.S. “These are important data points for determining how to best advance oral health equity for MA beneficiaries.”

Source: ADA responds to CMS request for information on Medicare Advantage plans / ADA.org

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