Proposed Behavioral Health Updates in Medicare Advantage and ACA Marketplace Plans Could Lead to Enhanced Access and Opportunities

Lexology January 4, 2023
Sidley Austin LLP

Investors and practice management companies focused on behavioral health should note two recent proposed rules that, if finalized, should increase access to behavioral health services for beneficiaries enrolled in Medicare Advantage (MA) health plans and Patient Protection and Affordable Care Act (ACA) marketplace plans. Specifically, on December 21, 2022, the U.S. Department of Health and Human Services (HHS) issued the Notice of Benefit and Payment Parameters for 2024 Proposed Rule (ACA Marketplace Proposed Rule), and on December 27, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program Proposed Rule (MA Proposed Rule).

MA Proposed Rule

In the...

Today's Sponsors

Today's Sponsor