Lexology June 22, 2023
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule that revises Medicare Advantage (MA) plans along with other federal health program regulations in a variety of traditional areas, but importantly introduced new requirements related to health equity, which may impact an MA plan’s reimbursement. Since the regulations became effective on June 5 (which was the submission date for 2024 MA contracts), MA plans have to figure out how to comply between now and January 1 (with some exceptions noted in the final rule).[i] This means MA plans will need to decide whether to create or expand their existing health equity programs or contract with third parties to provide the services. In either case, legal issues, such...
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