Beneficiary Appeals in Medicare Advantage

Posted At : October 26, 2009 9:46 AM
Related Categories: Medicare/Medicaid,Statistics,Health/Medical,Health Insurance

http://www.oig.hhs.gov/oei/reports/oei-01-08-00280.pdf

Provides information about appeals made by beneficiaries in Medicare Advantage health plans. Reports that MAOs make the vast majority of organization determinations in favor of beneficiaries but that fewer than 1 in 10 adverse determinations were appealed. From the Office of the Inspector General of the Department of Health and Human Services.

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