The AHA generally supports the Centers for Medicare & Medicaid Services’ proposals to increase flexibility in plan design, cost sharing and enrollment for the Medicare Advantage and prescription drug programs in 2019, but recommends caution to ensure that the added flexibility provides value and does not confuse beneficiaries, the association said in comments submitted today. AHA recommends that CMS increase flexibility in MA uniformity requirements “incrementally upon evidence that such an approach supports the desired outcomes,” and “strongly supports” agency efforts to prevent and take action against any plan discrimination in out-of-pocket and cost sharing limits. The association expressed concern that eliminating the “meaningfully different” standard for organizations that offer multiple MA plans in the same county may confuse beneficiaries regarding plan options, and recommends that CMS explore better tools and resources to improve the beneficiary experience if it moves forward with the proposal. AHA also strongly recommends that beneficiaries receive adequate notice of any change in the enrollment process and can get timely answers to their questions.

Related News Articles

Headline
AHA March 26 submitted comments on a discussion draft of the SUSTAIN 340B Act, legislation proposed in the Senate to clarify Congress’ intent in creating the…
Headline
President Biden March 24 signed legislation funding the rest of the federal government through Sept. 30, including Department of Health and Human Services…
Headline
The House March 22 voted 286-134 to pass the Further Consolidated Appropriations Act of 2024, legislation that would fund all remaining federal agencies…
Headline
The House and Senate Appropriations committees March 20 released the Further Consolidated Appropriations Act of 2024, legislation that would fund all remaining…
Headline
The House Energy and Commerce Committee March 20 unanimously passed AHA-supported legislation to reauthorize through 2029 the Dr. Lorna Breen Health Care…
Headline
The Environmental Protection Agency March 14 issued a final rule that will require significantly reduced emissions from commercial facilities that sterilize…