Becker's Healthcare June 27, 2025
Federal lawmakers have introduced a handful of bills aimed at speeding up prior authorization and cracking down on upcoding in Medicare Advantage.
None of the introduced bills have been heard in committee.
Here are five proposals introduced in 2025 to know:
- Arizona Rep. David Schweikert introduced H.R.3467, which would overhaul several aspects of Medicare Advantage. The bill would require MA plans to pay capitation payments for most plans, and would allow CMS to enroll Medicare beneficiaries in the least expensive MA plan available to them automatically. Enrollees could opt-out of this option.
The bill would also require Medicare Advantage plans to administer the Medicare hospice benefit. Currently, when MA beneficiaries enter hospice care, traditional Medicare manages...
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