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AHA releases Q2 2025 Health Care Plan Accountability Update
The AHA July 3 released the Health Care Plan Accountability Update for the second quarter of 2025.
DOJ, HHS announce working group to investigate health care fraud
The Departments of Justice and Health and Human Services today announced the cr
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.
AHA Senate Letter Supporting Improving Seniors’ Timely Access to Care Act
AHA expresses support for Senate legislation, the Improving Seniors’ Timely Access to Care Act.
AHA House Letter Supporting Improving Seniors’ Timely Access to Care Act
AHA expresses support House legislation, the Improving Seniors’ Timely Access to Care Act.
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.