ADA urges CMS to make Medicare Advantage plans more comprehensible for dental consumers

The American Dental Association asked CMS to improve Medicare Advantage plans by making it easier to understand and compare benefits for dental consumers. 

The ADA filed comments Feb. 13 in response to a proposed CMS rule for 2024 that would make revisions to regulations governing Medicare Advantage, the Medicare Prescription Drug Benefit, Medicare cost plans and Programs of All-Inclusive Care for the Elderly. The ADA's comments pertain to data collection, marketing and quality improvement. 

Regarding data collection, the ADA urged CMS to collect data on supplemental benefits for lower income Medicare Advantage enrollees and said it is critical for CMS to analyze data on these benefits, including enrollee demographics, included coverage and what benefits are being utilized. The ADA also recommended CMS require plan administrators to report on metrics pertaining to enrollment and utilization of dental services.

ADA voiced its support for increased transparency in marketing for Medicare Advantage plans, including prohibiting organizations from marketing any products, plans, benefits or costs unless the Medicare Advantage organization is identified in the material and requiring Medicare Advantage organizations to provide opt-out information in writing to enrollees.

The dental organization also said it would like Medicare Advantage Part C plans offering supplemental dental benefits to publicly report standardized quality measures to improve the quality of Medicare Advantage plans.

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