Series: Audits of Medicare Part C Supplemental Benefits

OBJECTIVE

Under the Medicare Advantage (MA) program, an MA organization can offer supplemental benefits, which are items or services that are not covered by traditional Medicare, to its enrollees. MA organizations must design the supplemental benefits to improve enrollees’ health, allow enrollees to manage their chronic conditions, or support enrollees’ access to care. Over the past 5 years, the types of supplemental benefits—and payments for them—have grown considerably, and per-person payments from CMS to MA organizations for these benefits have more than doubled. For this series of audits, we will determine whether MA organizations complied with Federal requirements for the supplemental benefits offered to their enrollees.

There is 1 project in this series.

Project titles will remain unpublished until projects are complete and reports are posted.

ACTIVE PROJECTS IN THIS SERIES (1)

TIMELINE

• June 17, 2024
  Series Number SRS-A-25-022 Assigned
• June 17, 2024
  Project Announced

  Project A-06-24-06001

• Today
  1 Audit In-Progress
• Est FY2026
  Estimated Fiscal Year for Series Completion

---