Medicare Advantage
OIG Issues MA Plan Fraud Alert
The Office of Inspector General (OIG), U.S. Department of Health and Human Services, has issued a Special Fraud Alert warning about certain marketing schemes involving the Medicare Advantage (MA) program. These schemes involve questionable payments and referrals between Medicare Advantage plans, health care professionals ( HCPs) , and third-party marketers such as agents and brokers. The Special […]
Read MoreCMS Proposes Changes to Medicare Advantage and Medicare Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) has issued the Contract Year (CY) 2026 Medicare Advantage (MA) and the Medicare Prescription Drug Benefit Program (Part D) proposed rule. CMS proposes several changes to these programs with the intent to hold MA and Part D plans more accountable for delivering high-quality coverage, and builds on CMS’ work […]
Read MoreMedicare Advantage Education at the 2024 Home Care and Hospice Conference and Expo
The 2024 Home Care and Hospice Conference and Expo will feature over 50 educational sessions, each one led by recognized experts in their field who are up to date on the latest developments in home health, home care, hospice, and palliative care. From clinical to financial, this conference has you covered. Let’s look at the MEDICARE ADVANTAGE sessions […]
Read MoreBill Introduced to Streamline MA Prior-Authorizations
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 […]
Read MoreNAHC Submits Recommendations for MA Plan Data
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. […]
Read MoreCMS Issues Final Rule for MA Plan 2025 Contract year
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 […]
Read MoreMA oversight is critical to ensure home care providers’ financial stability, experts offer
Read MoreIMPORTANT: Please Take this MA Survey!
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 […]
Read MoreIMPORTANT: Please Take this MA Survey!
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 […]
Read MoreIMPORTANT: Please Take this Survey!
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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