McKnight's January 12, 2024
Despite early fears, long-term care leaders have some reason to be optimistic that changes to Medicare Advantage rules for 2024 will be enforced.
“Key decision makers” at the Centers for Medicare & Medicaid Services assured a coalition of industry leaders that “they intend to use their full array of tools” to ensure the MA plans stick to rule changes, according to Nicole Fallon, vice president of integrated services and managed care at LeadingAge.
CMS intended the rule changes, which went into effect Jan. 1, to broaden protections under MA — including clarifying coverage rules, limiting plan denials and restricting when technology could be used to make decisions about ending coverage. But associations and consumer advocates saw worrying signs that...
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