Review of Medicare Payments to Managed Care Plans on Behalf of Deceased Enrollees

摘要

Medicare Part C offers Medicare beneficiaries managed care options for health care coverage. Title II of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 revised Medicare Part C and established the Medicare Advantage program. The Centers for Medicare & Medicaid Services (CMS) makes payments at the beginning of each month to Medicare Advantage organizations for medical services provided to individuals enrolled in Medicare Advantage plans. After an enrollee dies, the last allowable payment is for the month in which the enrollee died. CMS has systems that identify deceased enrollees to initiate disenrollment and prevent improper payments made to Medicare Advantage organizations for the months following the enrollees' death.