Centers for Medicare & Medicaid Services (CMS) released a new Medicare Advantage Value-Based Insurance Design (VBID) Model Extension Fact Sheet on April 5. In March […]
News Topic: Managed Care
Key Provisions and Clarifications in MA, Part D and PACE Final Rule
The final rule for the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the […]
MA Rates Rise for CY2024, Part D Costs to Fall
CMS announced March 31 that Medicare Advantage (MA) plans will receive a 3.32% rate increase for CY2024, as part of CMS’s CY2024 Final Rate Announcement. […]
LeadingAge Interoperability & Prior Authorization Rule Comments
CMS proposed rules in December 2022 on “Advancing Interoperability and Improving Prior Authorization Processes”. If passed, they would establish new requirements for payers – Medicaid, […]
LeadingAge Paper: MA Plans Not Delivering on Promise to Consumers
Nearly 30 million Medicare beneficiaries are now enrolled in Medicare Advantage (MA). As the MA program has grown, so have the problems with access and […]
Fulfilling the Promise of Medicare Advantage FINAL
Recommend
Ideas on Duals Integration Shared with Senate
A group of US Senators who sit on the Senate Finance Committee issued a Request for Information in Dec. 2022 seeking input on how to […]
LeadingAge Offers Suggestions on Medicare Advantage Rule
Recommend
Proposed MA Rule Responds to Concerns About Access to Care and Marketing
CMS issued its annual proposed rule (CMS-4201-P) to update the Medicare Advantage (MA) policies and technical changes that will apply to MA, Special Needs Plans […]
CMS Issues Proposed Rule on Advancing Interoperability & Prior Authorization Processes
CMS will publish a 403-page proposed rule in the Federal Register on Dec. 13 looking at advancing interoperability and improving prior authorization processes for Medicare Advantage organizations(MAOs), […]