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Committee probes Medicare Advantage marketing tactics
Senate Finance Committee Chairman Ron Wyden, D-Ore., Jan. 23 asked five third-party marketing organizations that participate in Medicare Advantage enrollment to provide certain information by Jan. 31 about their business practices as the committee continues its inquiry into problematic MA marketing practices.
CMS seeks input to strengthen Medicare Advantage data, transparency
The Centers for Medicare & Medicaid Services seeks input through May 29 on ways to strengthen Medicare Advantage data to guide policymaking and advance transparency.
AHA proposes how Congress could truly reduce national health expenditures
In a statement submitted to the House Energy and Commerce Subcommittee on Health for a hearing Jan. 31 on national health expenditures, AHA urged the subcommittee to prevent certain Medicare Advantage plans from engaging in tactics that restrict and delay access to care while adding burden and cost to the health care system.
AHA podcast: The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Chris Barber, president and CEO of St. Bernards Healthcare, discusses the problems certain MA plan practices can create for patients and their caregivers, especially for rural hospitals and health systems that face a unique set of challenges in caring for their communities.
CMS proposes Medicare Advantage, Part D payment changes for CY 2025
The Centers for Medicare & Medicaid Services will accept comments through March 1 at 6 p.m. ET on its advance notice of proposed changes to Medicare Advantage plan capitation rates and Part C and Part D payment policies for calendar year 2025, which the agency estimates will increase MA plan revenues by an average 3.70%.
CMS FAQs on 2024 Medicare Advantage Rule
In this memo, the CMS provides clarification about how MA plans should comply with the 2024 Medicare Advantage rule.
CMS releases FAQs on 2024 Medicare Advantage rule
The Centers for Medicare & Medicaid Services yesterday released FAQs clarifying coverage criteria and utilization management requirements for Medicare Advantage plans under its final rule for calendar year 2024, which includes provisions intended to increase program oversight and create better alignment between MA and Traditional Medicare.
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.
Critical Access Hospitals
Since 1997, several key pieces of legislation have resulted in the creation and modification of the critical access hospital (CAH) program.