Behavioral Health Business December 2, 2024
The Centers for Medicare & Medicaid Services has prioritized equitable behavioral health care access, proposing a new rule to cap behavioral health costs for Medicare Advantage members.
The proposed rule, scheduled to be published on Dec. 10, would require that Medicare Advantage in-network cost-sharing for mental health and substance use disorder (SUD) care not exceed cost-sharing levels in traditional Medicare.
The American Hospital Association commended CMS for its proposal.
“As enrollment in Medicare Advantage has for the first time reached more than half of all people enrolled in Medicare, it is more important than ever to establish and implement stronger consumer and beneficiary protections and curtail practices that can impede patient access to care,” Ashley Thompson, AHA Senior Vice President,...
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