Providers with Health Plans

The Centers for Medicare & Medicaid Services yesterday released preliminary estimates underlying Medicare Advantage rates for 2017. According to CMS’s analysis, the Medicare fee-for-service baseline rate will increase by 3.1% in 2017. The FFS baseline measures traditional Medicare spending…
AHA strongly supports many of the provisions of the Health Benefit Plan Network Access and Adequacy Model Act (Model Act) as approved by the National Association of Insurance Commissioners' (NAIC) Regulatory Framework (B) Task Force.
Comment letter to the National Association of Insurance Commissioners' Subgroup regarding the Sept. 1 proposed revisions to the Health Benefit Plan Network Access and Adequacy Model Act (Model Act). The AHA believes that the proposed revisions address the problems providers and consumers face with…
The Centers for Medicare & Medicaid Services today released premium and cost information for Medicare Advantage and Part D prescription drug plans for the 2016 calendar year.
The Centers for Medicare & Medicaid Services last week announced the Medicare Advantage Valued-Based Insurance Design Model, which will test whether encouraging plan enrollees with certain conditions to consume high-value clinical services through reduced cost sharing and other approaches…
There is little or no competition in Medicare Advantage markets in 97% of U.S. counties, according to a study released today by the Commonwealth Fund. Among 2,933 counties with at least 10 MA plan enrollees in 2012, only one county qualified as a competitive market and 80 as moderately…
The AHA today expressed support for five Medicare Advantage bills to be marked up tomorrow: H.R. 2505, 2506, 2507, 2579 and 2581.