Fierce Healthcare January 25, 2024
The Centers for Medicare & Medicaid Services is seeking feedback on how to increase transparency around Medicare Advantage and improve data capabilities.
The request for information (PDF) is the latest MA-focused action the agency has taken this month. Last week, the agency finalized a rule that gives stricter limits on when insurers must respond to prior authorization requests.
Information gained from the public through the request will “ensure MA plans appropriately use taxpayer funds” as well as bolster competition, according to a release.
CMS said it is looking for input regarding all aspects of MA including provider networks, prior authorization, supplemental benefits, marketing, care quality and outcomes, value-based care arrangements and equity and vertical integration. Other areas CMS is interested...