Advocates Pleased CMS Aims To Rein In D-SNP Look-Alikes, But Worried CMS May Miss Some

By Michelle M. Stein / February 12, 2020 at 11:51 AM
Beneficiary advocates say they are pleased CMS appears to be taking seriously the issues with so-called look-alike plans that mimic Dual Eligible Special Needs Plans yet don’t have the same Medicare and Medicaid integration requirements – but some worry that CMS' proposed threshold for stopping these plans may be set too high. Allowing the plans to simply enroll beneficiaries in one of their other products if a look-alike is shut down may not be enough of a disincentive, some say...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.