CMS examines inappropriate guiding of people eligible for Medicare or Medicaid into Marketplace plans
MDS 3.0 Insider, August 19, 2016
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On August 18, 2016, 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 guiding 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.
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