Three in­sur­ers must halt mar­ket­ing, en­roll­ment of plans

Modern Healthcare - - Late News -

The CMS or­dered three in­sur­ers to stop the mar­ket­ing and en­roll­ment of their Medi­care Ad­van­tage and pre­scrip­tion drug plans. Health Net, Wood­land Hills, Calif., Ar­ca­dian Man­age­ment Ser­vices, Oak­land, Calif., and Uni­ver­sal Amer­i­can Corp., Hous­ton, were sanc­tioned by the CMS. Health Net must stop mar­ket­ing and en­roll­ment im­me­di­ately, while the other two in­sur­ers must cease by Dec. 5, ac­cord­ing to the CMS. Vi­o­la­tions by Health Net were found dur­ing a CMS au­dit. Mem­bers and CMS mon­i­tor­ing raised the prob­lems at the other two plans, which in­cluded im­proper over­sight of sales agents, who were mis­lead­ing mem­bers about net­work providers and drug for­mu­la­ries, the CMS said. The in­sur­ers could not be im­me­di­ately reached for com­ment.

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