Healthcare Finance News November 27, 2023
Final rule aims to ensures better alignment and coverage parity between traditional Medicare and MA and increases oversight of MAOs.
The American Hospital Association is asking the Centers for Medicare and Medicaid Services to crack down on Medicare Advantage insurers it says are blatantly flaunting CMS coverage rules.
“We expressed concerns about reports we have received from our members that certain MAOs have indicated they do not intend to make changes to their utilization management programs in response to the new rule. In other cases, it appears some plans are making changes to the terminology they use in denial letters that may be intended to circumvent recent CMS rulemaking,” said Ashley Thompson, AHA senior vice president, Public Policy Analysis and...
Today's Sponsors
Today's Sponsor