Skilled Nursing News November 26, 2024
The Centers for Medicare & Medicaid Services (CMS) is taking new steps to improve Medicare Advantage (MA) access and transparency, including reforms to prior authorizations and the use of AI tools to deny coverage, as outlined in the 2026 Medicare Advantage and Part D proposed rule, officials said during a call on Tuesday.
The Contract Year (CY) 2026 MA and Part D proposed rule aims to hold MA and Part D plans more accountable, with proposed rule increasing guardrails on the use of AI in order to protect access to health services, officials said.
CMS Deputy Administrator Meena Seshamani emphasized that many Medicare Advantage enrollees face challenges in accessing necessary care, including medication and rehabilitation services. To address these issues,...
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