Search Results

The default setting for search results displays All Content. If you prefer to see recent content only, please adjust the date filter.

59 Results Found

NORC, Coalition report finds MA patients face longer hospital stays, reduced follow-up care access 

A report released June 17 by NORC at the University of Chicago, commissioned by the Coalition to Strengthen America’s Healthcare, found that patients enrolled in Medicare Advantage plans are more likely to experience longer hospital stays and experience delays in transfer to post-acute care facilities than those on Traditional Medicare.

CMS to expand audits of MA plans

The Centers for Medicare & Medicaid Services May 21 announced it will immediately begin annual audits of all Medicare Advantage plans and work to clear a backlog of audits from 2018 through 2024.

CMS requests comments on MA service level data collection for initial determinations, appeals

The Centers for Medicare and Medicaid Services May 30 released a

Report: Hospitals and health systems squeezed by persistent economic challenges 

The AHA April 30 released a report highlighting how hospitals and health systems continue to experience significant financial headwinds that can challenge their ability to provide care to their patients and communities.

GAO says CMS should target behavioral health services in prior authorization audits

The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services target behavioral health services when auditing Medicare Advantage plans’ use of prior authorization.

CMS leaders share insights on deregulation, Medicare Advantage oversight

Leaders from the Centers for Medicare & Medicaid Services at the 2025 AHA Annual Membership Meeting May 5 discussed issues on the agency’s agenda in a fireside chat moderated by Ashley Thompson, AHA senior vice president, public policy analysis and development.
Public

Health Care Plan Accountability Update: March 28, 2024 - July 8, 2024

The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.

CMS finalizes CY 2026 Medicare Advantage, Part D rates

The Centers for Medicare & Medicaid Services April 7 released finalized payment rates for calendar year 2026 Medicare Advantage and Part D plans.

CMS releases final rule for 2026 Medicare Advantage, prescription drug plans 

The Centers for Medicare & Medicaid Services April 4 finalized changes to the Medicare Advantage and prescription drug programs for contract year 2026.

AHA discusses how Congress can improve support for post-acute care

The AHA March 11 shared ways Congress could better support patient access to post-acute care in comments for a hearing held by the House Committee on Ways and Means Subcommittee on Health.