Behavioral Health Business January 11, 2022
The Centers for Medicare and Medicaid Services is looking into why Medicare Advantage plans have apparently struggled to add behavioral health providers to their networks.
Last week, CMS announced that it issued a proposed rule that would change how insurers operate Medicare Advantage and Medicare prescription drug plans.
But within the same proposed rule, CMS also said that it was requesting information from industry stakeholders about why Medicare Advantage plans struggled to meet previously issued requirements to have behavioral health providers in their networks of providers.
Medicare Advantage is a privately administered version of the government health plan for those aged 65 and older. Over 27 million people receive health benefits through a Medicare Advantage plan, according to CMS. The...