Sarah J. Lorance Highlights Findings of Recent Medicare Audits

The most recent Medicare Advantage and Part D program audits revealed that oversight of formulary administration is an area that health plans continue to struggle with, Sarah J. Lorance, vice president of Medicare Compliance at WellPoint, said at America’s Health Insurance Plans’ National Conference on Medicare and Medicaid and Dual Eligibles Summit in Washington, DC.

CMS put out training for plans and required all compliance officers to complete the training to ensure everyone understand “the critical nature of classification, turnaround times, and appropriate follow-up steps,” she said.