Elevance Health Inc. disclosed that the Centers for Medicare & Medicaid Services has notified the company of its intent to impose intermediate sanctions that would suspend enrollment of Medicare beneficiaries into the company’s Medicare Advantage-Prescription Drug plans and restrict certain communications to Medicare beneficiaries. The sanctions are scheduled to take effect March 31, 2026 unless CMS determines the identified issues have been satisfactorily addressed, and relate to alleged noncompliance with Medicare Advantage risk adjustment data submission requirements for dates of service prior to April 3, 2023. Elevance said the suspension would not affect current members’ benefits and that it is working with CMS to address the concerns.
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