Medicare Advantage

The AHA commends CMS for finalizing critical policies that will help ensure beneficiaries enrolled in Medicare Advantage have access to the medically necessary health care services to which they are entitled.
The Centers for Medicare & Medicaid Services April 5 released a final rule that would increase oversight of Medicare Advantage plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes.
The Centers for Medicare & Medicaid Services today finalized proposed changes to Medicare Advantage plan capitation rates and Part C and Part D payment policies for calendar year 2024, which the agency estimates will increase MA plan revenues by an average 3.32% from 2023 to 2024.
The Centers for Medicare & Medicaid Services plans to extend the Medicare Advantage Value-Based Insurance Design Model for an additional five years, from 2025 through 2030, introducing changes to support health-related social needs and health equity.
The Centers for Medicare & Medicaid Services should require Medicare Advantage organizations to definitively indicate when they deny payment of a claim for service, the Department of Health and Human Services’ Office of Inspector General recommended Friday.
Commenting today on the CMS proposed policy and technical changes to the Medicare Advantage program for contract year 2024, AHA voiced strong support for proposals to strengthen MA organization oversight and consumer protections and ensure greater equity between Traditional Medicare and the MA…
AHA commentd on the Centers for Medicare & Medicaid Services’ proposed rule for policy and technical changes to the Medicare Advantage program in contract year 2024.
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 issued its Medicare Advantage (MA) proposed rule for contract year 2024. The AHA has developed a model comment letter that hospitals and health systems can use to assist with submitting their own comments on the proposed rule to CMS.