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CMS Finalizes CY 2024 Medicare Advantage Rule
CMS April 5 finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024.
AHA comments on proposed HIPAA transaction standards for health care attachments
The Department of Health and Human Services should adopt its proposed standard for claims attachments to help improve claims processing and eliminate unnecessary burdens on health care providers, AHA said in comments submitted today.
AHA urges CMS to finalize prior authorization rule
AHA today urged the Centers for Medicare & Medicaid Services to quickly finalize a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace plans to streamline their prior authorization processes, but urged the agency to adequately enforce and monitor the requirements and test and vet any electronic standards before mandating their adoption.
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
Use Model Comment Letter to CMS on Interoperability and Prior Authorization Rule
The Centers for Medicare & Medicaid Services (CMS) Dec.
CMS Proposed Rules on Prior Authorization and Medicare Advantage Jan 24
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.
CMS Issues Proposed Rule for CY 2024 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes, supplementing a separate proposal last week.
CMS Proposes Rules to Standardize Prior Authorization Processes
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.
CMS releases proposed rule streamlining prior authorization for Medicare Advantage plans
The Centers for Medicare & Medicaid Services tonight released a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace health plans to streamline processes related to prior authorization.
AHA Statement on CMS Proposed Rule on Prior Authorization
The AHA commends CMS for taking important steps to remove inappropriate barriers to patient care by streamlining the prior authorization process for some health insurance plans. Hospitals and health systems especially appreciate that CMS included Medicare Advantage plans in these requirements, as the AHA has urged.