CMS Seeks Input on MA Plan Data

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 […]

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

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 […]

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

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 […]

Home Health Providers’ Medicare Advantage Problem Will Be A ‘Generational Battle’