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We are really delighted to have you with us today, Ms. Block, as well as we would be pleased to obtain your statement. DECLARATION OF ABBY L. BLOCK, SUPERVISOR, CENTER FOR RECIPIENT OPTIONS, CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), BALTIMORE, MD Ms. Block. Thanks for welcoming me to discuss Medicare Advantage as well as, specifically, advertising conformity.

Functioning very closely with Congress, we have fine-tuned Medicare Advantage over the years to advertise strong strategy participation across the country. With a dynamic market of strategies for 2007, beneficiary enrollment is now at an all-time high. I am proud of these successes as well as stand committed to deal with you in the days in advance to protect selection for people with Medicare.

Such fringe benefits vary by plan, yet can consist of: lower cost-sharing, enhanced Component D prescription drug coverage, Part B as well as D premium decreases; and, accessibility to products and also services like hearing aids, regular physicals or vision examinations that original Medicare does not cover. Regardless of the programs' successes, CMS takes recent reports of hostile advertising of some products very seriously.

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I wish to chat today about a few of the manner ins which CMS is building on lessons learned as well as info gathered throughout 2006. CMS enforcement for advertising and marketing infractions ranges from releasing a caution letter or corrective action plan to suspending enrollment and also, eventually, ending a plan from the program - Medicare agent Huntington NY. This year alone, we have fined strategies greater than $400,000 in civil monetary penalties for falling short to provide details to beneficiaries in a prompt way.

Our experience shows that, on celebration, personal fee-for- service plans have not been clear regarding what they provide our beneficiaries as well as what they do not offer. Consequently, for 2008, we will need plans to include details, distinct language in all marketing materials, enrollment products and also sales presentations laying out what a recipient can expect if he or she registers for a plan, and also call all new applicants to verify that they do, as a matter of fact, recognize the attributes of the strategy and desire to enlist.

Our utmost issue is to aid and secure the recipient. Beneficiaries and enrollees mislead by a strategy are given a chance to change to one more strategy. Furthermore, during the very first quarter of each year, all enrollees already have the chance to switch over out of private fee-for-service plans or you can check here any type of various other MA plan for any type of factor as well as choose another choice.

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CMS handles infractions of our advertising standards. CMS is taking numerous steps to determine organizations in need of conformity intervention, including surveillance problems by conducting secret purchasings of sales occasions throughout the nation.

Particularly, CMS works cooperatively with the National Association of Insurance Policy Commissioners and also State divisions of insurance to create a model compliance and also enforcement Memorandum of Recognizing. So far, 20 States and Puerto Rico have authorized the MOU that will certainly allow us to share information about non-compliant advertising tasks. CMS prepares to provide soon a suggested rule that will certainly promote oversight for Medicare Benefit plans as well as Part D prescription medication plans.

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These are just the preliminary actions we are requiring to make certain that Medicare beneficiaries are not being disinformed, misinformed or defrauded. We are holding strategies accountable for the actions view publisher site of both employed as well as independent agents selling their products. This consists of requiring documented training of marketing agents and brokers. Ultimately, I intend to assure you that the huge majority of seniors who purchased Medicare Benefit products are satisfied with their strategies and the services they are obtaining.

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Thank you, Ms. Block. Before we get to inquiries for you, we would certainly such as to hear from our Ranking Participant, Legislator Smith, as well as Senator Whitehouse. Thank you, Senator Kohl, for calling this vital hearing on a very important problem.

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You have heard me whine in the past that the management of the Senate must contact the Aging Committee before they set up ballots. We ask forgiveness to the witnesses. We thank you for your indulgence as well as your time. We respect it deeply, especially this particular concern. I desire to make a distinction, which I hope people that are interested will recognize.

These things should be directed out. All stakeholders that wish to see this program proceed demand to recognize that, if left unchecked, this will threaten confidence in the program. Having stated that, I want to explain my belief that Medicare Benefit and also Medicare Part D are tolerable simply due to the fact that they are exclusive delivery systems.

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They can function better. Yet to all that have an interest in the ongoing success of these programs, it concerns each people separately to do all that we can to fix the troubles as well as to repair them quickly. What I did when I was Chairman and also now, as Ranking Participant-- and also I share the Chairman's issue-- what I began to do in the 109th Congress is to supply oversight.

It needs to change. We will check proceed that oversight with the sight, at least, from my sight, to preserving and strengthening these programs that do so much excellent, help so numerous individuals, specifically, in country locations. So any firm with an interest in either prescription medicines or Medicare Benefit: Hop on top of this and get on top of it quick.

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