Medicare Advantage

The Centers for Medicare & Medicaid Services should require Medicare Advantage organizations to definitively indicate when they deny payment of a claim for service, the Department of Health and Human Services’ Office of Inspector General recommended Friday.
Commenting today on the CMS proposed policy and technical changes to the Medicare Advantage program for contract year 2024, AHA voiced strong support for proposals to strengthen MA organization oversight and consumer protections and ensure greater equity between Traditional Medicare and the MA…
AHA commentd on the Centers for Medicare & Medicaid Services’ proposed rule for policy and technical changes to the Medicare Advantage program in contract year 2024.
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 issued its Medicare Advantage (MA) proposed rule for contract year 2024. The AHA has developed a model comment letter that hospitals and health systems can use to assist with submitting their own comments on the proposed rule to CMS.
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.
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.