Seventy-eight members of the House, led by Representatives Jayapal, DeLauro, Schakowsky and Doggett, called on the Centers for Medicare and Medicaid (CMS) to take action to address growing concerns with the Medicare Advantage (MA) program and plans, including: overpayments to plans estimated at a total of $1.2 trillion over the next decade (per the Committee for a Responsible Federal Budget), inappropriate denials of prior authorizations for medical necessary care, the use of “arbitrary, unregulated AI [artificial intelligence] algorithms, and care disparities across race, ethnicity and ability.
LeadingAge appreciates these members’ efforts to shine a light on concerns we share with the new Trump Administration. The complete letter from House members to CMS can be found here.