Medicare Advantage
Model letter for CY 2024 policy and technical changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program Proposed Rule.
The Centers for Medicare & Medicaid Services will accept comments through March 3 on its advance notice of proposed changes to Medicare Advantage plan capitation rates and Part C and Part D payment policies for calendar year 2024.
CMS finalized technical details regarding the Medicare Advantage Risk Adjustment Data Validation program, which the agency uses to recover improper risk adjustment payments from MA plans when the medical diagnoses submitted for payment are not supported in the beneficiary’s medical record.
Webinar CMS Proposed Rules on Medicare Advantage and Prior Authorization
AHA staff will summarize the key provisions of the Medicare Advantage proposed rules, provide an opportunity for Q&A, and solicit hospital and health system input into AHA commentary and advocacy.
Meeting Materials
Agenda and Background Memo
The Centers for Medicare…
The Centers for Medicare…
The AHA commends CMS for taking important steps to increase oversight of Medicare Advantage plans to help ensure enrollees have equal access to medically necessary health care services that should be covered.
The Centers for Medicare & Medicaid Services tonight released a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace health plans to streamline processes related to prior authorization.