McKnight's December 1, 2023
Aging services providers are increasingly concerned that powerful Medicare Advantage plans will not fall into line under new federal rules, which were once seen as the possible beginning of a tide change for beneficiary rights.
Changes to Medicare Advantage slated to kick in Jan. 1 were designed to ensure plans extend their enrollees the same benefits and coverage as available to traditional Medicare beneficiaries. Specific revisions outline how MA plans could make coverage determinations, limit their use of denials and prior authorization, and place new limits on the use of digital technologies in deciding when covered care ends.
Based on mounting concerns from their members and patients covered under MA plans, five provider organizations joined with the consumer-oriented Center for...
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