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CMS Issues Frequently Asked Questions Related to CY 2024 Medicare Advantage Final Rule
The CMS Feb. 6 released a Frequently Asked Questions document pursuant to the calendar year 2024 Medicare Advantage final rule, which went into effect Jan. 1.
Survey: MA enrollees more likely to report care delays due to prior authorization
People enrolled in Medicare Advantage are more likely than those in traditional Medicare to report delays in care due to needed insurance approvals, according to a survey released Feb. 22 by the Commonwealth Fund, with 13% of traditional Medicare enrollees reporting associated delays compared with 22% of MA enrollees.
Release 2024.2 Create Landing Pag eTest
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AHA blog: What CMS’ prior authorization final rule means for hospitals, patients
Andrea Preisler, AHA’s senior associate director of administrative simplification policy, explains why the recent final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes should help reduce the burden on hospitals and clinicians and speed needed care for patients.
Prior Authorization Final Rule Will Improve Patient Access, Alleviate Hospital Administrative Burdens
The Centers for Medicare & Medicaid Services (CMS) Jan. 17 finalized new regulations aimed at reforming the prior authorization process.
AHA Statement on the CMS Final Rule on Prior Authorization
Rick PollackPresident and CEOAmerican Hospital Association
CMS finalizes prior authorization rule; hospital event highlights need for rule
The Centers for Medicare & Medicaid Services Jan. 17 released a final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes. AHA has urged the agency to finalize the rule to alleviate provider burden and ensure timely access to care for patients.
AHA Statement on “Health Care Spending in the United States: Unsustainable for Patients, Employers, and Taxpayers”
The AHA shares comments on the topic of national health expenditures before the House Committee on Energy and Commerce Subcommittee on Health .
2024 Marketplace enrollment surpasses 21 million
A record 21.3 million people selected a 2024 health plan through the Health Insurance Marketplaces during the open enrollment period, the Centers for Medicare & Medicaid Services reported Jan. 24.
Health Plan Accountability
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers, member updates and earned media.