Medicare + Choice COPS

The M+C program was created as Part C of Medicare under the Balanced Budget Act of 1997 (P.L. 105-33). The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173) established the Medicare Advantage program under Part C of Medicare, essentially renaming the program while also implementing a series of programmatic reforms.The conditions of participation relate to data reporting requirements, enrollment and marketing, member grievances and other aspects of providing high quality care to plan members.  The Duke Center for Health Policy has developed a draft working paper on the benefits and costs of Medicare + Choice conditions of participation.

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