Medicare Advantage
Payment denials by Medicare Advantage plans jumped 56% for the median health system between January 2022 and June 2023, contributing to a 28% decline in median cash reserves, according to the latest analysis of data from over 1,300 hospitals and health systems by Syntellis Performance Solutions and…
On November 15th, The American Hospital Association and a panel of experts from member hospitals and health systems discussed recent changes to the Medicare Advantage program that were finalized by the Centers for Medicare & Medicaid Services earlier this year. With new rules having gone…
On April 5, the Centers for Medicare & Medicaid Services (CMS) finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for contract year (CY) 2024. The final rule increases oversight of Medicare Advantage (MA) plans and seeks to better…
The Centers for Medicare & Medicaid Services (CMS) Nov. 6 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly, and Health Information…
The Centers for Medicare & Medicaid Services Nov. 6 proposed changes to the Medicare Advantage and prescription drug programs for contract year 2025 intended to improve access to behavioral health care; ensure that agents and brokers enroll individuals in the best plan for their needs and that…
Over 30 members of the House of Representatives Nov. 3 urged the Centers for Medicare & Medicaid Services to monitor and evaluate how Medicare Advantage plans use artificial intelligence and algorithms to guide their coverage decisions, and ensure these tools comply with Medicare rules and do…
AHA on Oct. 19 submitted a statement to the House Energy and Commerce Health Subcommittee on legislative proposals involving Medicare.
The Centers for Medicare & Medicaid Services released its star ratings for 2024 Medicare Advantage and prescription drug plans, which are available through the Find Plans tool at Medicare.gov.
Responding to a request for stakeholder input, AHA shared (LINK) with the House Budget Committee Health Care Task Force its recommendations to make health care more affordable without compromising access to high quality care.
AHA urged the Centers for Medicare & Medicaid Services to rigorously enforce changes that were included in the calendar year 2024 Medicare Advantage final rule to improve how coverage works for enrollees, promote more timely access to care, ensure better alignment and coverage parity between…