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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.
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.
HHS and DOL Call on UnitedHealth Group to Step Up to Help Hospitals, Physicians in Aftermath of Cyberattack
In a letter sent yesterday to all providers, HHS Secretary Xavier Becerra and DOL Acting Secretary Julie A. Su asked for greater transparency and expedited payments to impacted providers, among other things.
Chair File: Accelerating Efforts to Enhance Patient Safety and Quality
This week is Patient Safety Awareness Week.
CMS Announces Payment Program for Providers Affected by Change Healthcare Cyberattack
The Centers for Medicare & Medicaid Services (CMS) March 9 issued a notice formally announcing terms for hospitals, physicians and other providers impacted by the Change Healthcare cyberattack to apply for accelerated and advance payments (AAPs).
New tool helps provide clear path to accelerate sustainability
PDC Summit attendees can watch a live demo of the International Hospital Federation’s new Sustainability Accelerator Tool during this year’s conference
AHA Statement on HHS/DOL Letter to Providers About Change Healthcare Cyberattack
We welcome today’s letter from the Department of Health and Human Services and Department of Labor that recognizes the unprecedented nature of the Change Healthcare cyberattack and its far-reaching impacts on hospitals, physicians and the health care sector.
AHA Statement on UnitedHealth Group Update on Change Healthcare Cyberattack
We appreciate the information that UnitedHealth Group has laid out regarding an aspirational timeline of potential technical relief for this historic cyberattack on the U.S. health care system. However, nothing in the announcement materially changes the chronic cash flow implications and uncertainty that our nation’s hospitals and physicians are experiencing as a result.