Until the 2006 introduction of Medicare Part D (Drug Coverage), Medicare covered very few prescriptions outside of hospital settings.
Private health plans are entities that contract with Medicare to provide services to enrollees.
The Affordable Care Act modified how Medicare Advantage (MA) plans are paid to bring MA payments more in line with
When administered properly, private health plans can oversee patient care effectively and discourage unnecessary use of services.
CMS uses several approaches to ensure plans provide high-quality care and that this care is regularly assessed and improved.