Bill Introduced to Streamline MA Prior-Authorizations

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The Improving Seniors’ Timely Access to Care Act, introduced by a bipartisan and bicameral group of congressional legislators this month, would reform the prior authorization system in Medicare by implementing electronic systems and standardized requirements across payers. Through this transition the bill aims to expedite approvals, reduce administrative burdens, and enhance communication between providers and […]

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NAHC Submits Recommendations for MA Plan Data

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In January, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) seeking input from the public regarding various aspects of Medicare Advantage (MA) data. Feedback from stakeholders over the past several years reflected a strong desire for more comprehensive high quality MA programmatic data to increase MA program transparency. […]

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CMS Issues Final Rule for MA Plan 2025 Contract year 

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On April 2, 30204 the Centers for Medicare & Medicaid Services (CMS) released the Contract Year 2025 Medicare Advantage and Part D, Final Rule. The rule revises requirements for the Medicare Advantage Program, (Medicare Part C) , Medicare Prescription Drug Benefit Program (Medicare Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the […]

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IMPORTANT: Please Take this MA Survey!

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TAKE THE SURVEY HERE NAHC is embarking on a landmark survey focused on the operational and financial aspects of the relationship between home health agencies (HHAs) and Medicare Advantage (MA) plans. The survey ties into early MA studies from NAHC that examined the relationships in 2014 and 2020. As such, the 2024 edition provides a […]

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IMPORTANT: Please Take this MA Survey!

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TAKE THE SURVEY HERE NAHC is embarking on a landmark survey focused on the operational and financial aspects of the relationship between home health agencies (HHAs) and Medicare Advantage (MA) plans. The survey ties into early MA studies from NAHC that examined the relationships in 2014 and 2020. As such, the 2024 edition provides a […]

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IMPORTANT: Please Take this Survey!

By:

TAKE THE SURVEY HERE NAHC is embarking on a landmark survey focused on the operational and financial aspects of the relationship between home health agencies (HHAs) and Medicare Advantage (MA) plans. The survey ties into early MA studies from NAHC that examined the relationships in 2014 and 2020. As such, the 2024 edition provides a […]

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CMS Seeks Input on MA Plan Data

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The Centers for Medicare & Medicaid Services (CMS) has issued a request for information (RFI) seeking input from the public regarding various aspects of Medicare Advantage (MA) data. Feedback from stakeholders to past CMS issued RFIs on MA plans reflected a strong desire for more comprehensive high quality MA programmatic data to increase MA program […]

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CMS Releases CY2025 RFA for MA VBID and MA VBID Hospice Benefit Component

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The Centers for Medicare & Medicaid Services (CMS) has released materials for Calendar Year (CY) 2025 of the Medicare Advantage Value-Based Insurance Design (MA VBID) model, including Requests for Applications (RFA) and a Request for Information (RFI) related to the MA VBID and MA VBID Hospice Benefit Component. Following is a link to the MA […]

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Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients

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Susan Jaffe October 5, 2023 Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she was well enough to go home. At the time, she could not walk more than a […]

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