Which agency regulates Medicare Advantage plans like Wellcare?

The regulation of Medicare Advantage plans, including those offered by Wellcare, falls under the jurisdiction of the Centers for Medicare and Medicaid Services (CMS). This agency is responsible for overseeing the administration of Medicare and Medicaid programs, ensuring compliance with federal laws, and maintaining quality and standards in healthcare delivery within these programs.

CMS establishes guidelines for Medicare Advantage plans, including standards for coverage, benefits, and provider networks. The agency also conducts oversight to ensure that plans deliver the services promised to enrollees, handle claims appropriately, and follow the regulations set forth by Medicare.

The other agencies listed, such as the CDC, NIH, and FDA, have different missions that do not encompass the regulation of Medicare Advantage plans. The CDC focuses on public health and safety, the NIH conducts medical research, and the FDA regulates food and drug safety. Therefore, understanding the role of CMS is crucial for recognizing how Medicare Advantage plans operate within the healthcare system.