Health Affairs February 23, 2024
In 2022, the Centers for Medicare and Medicaid Services (CMS) provided states a number of new authorities to hold Medicare Advantage (MA) plans accountable and to ensure that dually eligible individuals receive integrated care. This past November, CMS proposed another set of significant changes that have the potential to dramatically improve the care and services, as well as the unbiased counseling and information about enrollment choices that dually eligible individuals receive.
Unlike the rule from 2022, most of the proposed changes in the proposed rule for 2025 do not require action on the part of states. Instead, CMS proposed a number of key changes that would automatically take place. The proposed rule also provides meaningful new tools for states to...
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