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We are really happy to have you with us today, Ms. Block, and also we would certainly be pleased to obtain your testimony. STATEMENT OF ABBY L. BLOCK, DIRECTOR, CENTER FOR BENEFICIARY CHOICES, CENTERS FOR MEDICARE AND MEDICAID SOLUTIONS (CMS), BALTIMORE, MD Ms. Block. Thanks for welcoming me to review Medicare Benefit and also, specifically, marketing compliance.

Functioning very closely with Congress, we have actually fine-tuned Medicare Benefit for many years to advertise strong plan participation across the nation. With a vivid industry of prepare for 2007, beneficiary enrollment is currently at an all-time high. I boast of these successes as well as stand dedicated to deal with you in the days ahead to maintain selection for individuals with Medicare.

Such fringe benefits vary by strategy, however can include: reduced cost-sharing, improved Part D prescription drug insurance coverage, Component B and D costs decreases; and, access to things and also services like listening devices, routine physicals or vision tests that initial Medicare does not cover. No matter the programs' successes, CMS takes current reports of hostile advertising and marketing of some products extremely seriously.

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I desire to speak today regarding several of the ways that CMS is building on lessons discovered and info collected throughout 2006. CMS enforcement for advertising and marketing violations ranges from providing a warning letter or rehabilitative action strategy to putting on hold registration as well as also, eventually, terminating a strategy from the program - Medicare agent Huntington NY. This year alone, we have actually fined strategies much more than $400,000 in civil financial fines for stopping working to supply details to recipients in a prompt manner.

Our experience shows that, from time to time, personal fee-for- solution plans have actually not been clear concerning what they supply our beneficiaries and also what they don't offer. For 2008, we will certainly need plans to consist of details, distinct language in all advertising and marketing products, registration products as well as sales presentations laying out what a beneficiary can anticipate if he or she signs up for a plan, and also call all brand-new applicants to validate that they do, in fact, understand the functions of the plan and desire to register.

Our utmost concern is to aid as well as safeguard the recipient. Therefore, beneficiaries and also enrollees deceive by a strategy are provided an opportunity to switch over to one more our website strategy. Additionally, throughout the first quarter of each year, all enrollees currently have the possibility to change out of exclusive fee-for-service plans or any type of various other MA prepare for any type of factor and also pick another option.

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CMS takes care of violations of our advertising guidelines. CMS is taking numerous actions to recognize companies in demand of conformity treatment, consisting of tracking issues by conducting secret shoppings of sales events throughout the nation.

Especially, CMS functions en masse with the National Association of Insurance Coverage Commissioners and State divisions of insurance coverage to establish a version compliance and also enforcement Memorandum of Comprehending. Far, 20 States as well as Puerto Rico have actually authorized the MOU that will certainly enable us to share information concerning non-compliant advertising and marketing tasks. CMS plans to release quickly a recommended rule that will certainly promote oversight for Medicare Benefit strategies as well as Part D prescription drug plans.

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We are holding strategies accountable for the actions of both employed and independent agents marketing their items. I desire to assure you that the huge majority of elders that purchased Medicare Advantage products are satisfied with their strategies as well as the solutions they are obtaining.

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Thanks once more for the chance to speak with you today. I look onward to answering your concerns. The Chairman. Thanks, Ms. Block. Before we obtain to inquiries for you, we wish to learn through try these out our Position Participant, Senator Smith, as well as Legislator Whitehouse. Senator Smith. Thanks, Senator Kohl, for calling this essential hearing on a very essential problem.

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You have actually heard me complain in the past that the leadership of the Us senate should consult the Aging Board prior to they set up ballots. We apologize to the witnesses. We thanks for your indulgence and your time. We value it deeply, specifically this particular issue. I intend to make a distinction, which I hope people who are interested will comprehend.

These points have to be transmitted out. All stakeholders that wish to see this program proceed demand to comprehend that, if left uncontrolled, this will undermine self-confidence in the program. Having said that, I want to make clear my belief that Medicare Advantage and Medicare Component D are okay merely due to the fact that they are private shipment systems.

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They can function much better. Yet to all who have a rate of interest in the continued success of these programs, it pertains to each of us independently to resource do all that we can to repair the problems and also to fix them quickly. What I did when I was Chairman as well as now, as Position Member-- as well as I share the Chairman's concern-- what I started to do in the 109th Congress is to give oversight.

It needs to transform. So we will proceed that oversight with the view, a minimum of, from my view, to preserving and also enhancing these programs that do so a lot great, assist so several individuals, particularly, in rural locations. Any kind of firm with a passion in either prescription medications or Medicare Advantage: Get on top of this and get on top of it quick.

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