Medicare Advantage

AHA encouraged the Centers for Medicare & Medicaid Services to work with Congress to require Medicare Advantage plans to waive prior authorization and other utilization management policies during public health emergencies, especially for hospitals transferring patients to post-acute care. 
AHA encourages the Centers for Medicare & Medicaid Services to work with Congress to require Medicare Advantage plans to waive prior authorization and other utilization management policies during public health emergencies, especially for hospitals transferring patients to post-acute care.
The Centers for Medicare & Medicaid Services (CMS) Jan. 12 released a proposed rule for the Medicare Advantage program, which includes a request for information (RFI) on prior authorization for hospital transfers to post-acute care settings during a public health emergency.
The Centers for Medicare & Medicaid Services (CMS) Jan. 12 released a proposed rule for the Medicare Advantage program, which includes a request for information (RFI) on prior authorization for hospital transfers to post-acute care settings during a public health emergency. The AHA has…
The Centers for Medicare & Medicaid Services yesterday released for comment its advance notice of methodological changes to Medicare Advantage capitation rates and Part C and Part D payment policies for calendar year 2023.
The Centers for Medicare & Medicaid Services released proposed regulations for the 2023 Medicare Advantage and Part D plan year.
The Centers for Medicare & Medicaid Services (CMS) yesterday released proposed regulations for the 2023 Medicare Advantage (MA) and Part D plan year.
The American Hospital Association expresses support of the Improving Seniors’ Timely Access to Care Act of 2021 (S. 3018).
Sens. Roger Marshall, R-Kan., Kyrsten Sinema, D-Ariz., and John Thune, R-S.D., introduced a Senate companion to AHA-supported legislation (H.R. 3173/S. 3018) that would establish requirements for the use of prior authorization under Medicare Advantage plans. 
The AHA urges the Centers for Medicare & Medicaid Services to revise and reissue recent proposed regulations streamlining prior authorization requirements within certain coverage programs; consider additional regulations to limit care delays; and conduct oversight and enforcement for plans who…