Healthcare Dive1d
CMS proposes new guardrails on Medicare Advantage prior authorizations, marketing
The Biden administration is attempting to push through a slew of reforms to the controversial MA program in its final months ...
McKnight's Long-Term Care News2d
‘Inappropriate’ prior authorization targeted in latest CMS proposed rule, but will it ever go live?
Federal officials announced Tuesday that audits they launched earlier this year have led to significant new reforms.
aha.org18d
AHA Responds to CMS Medicare Advantage Data and Audit Proposed Protocol
LaSureAdministratorCenters for Medicare & Medicaid Services7500 Security BlvdBaltimore, MD 21244Re: CMS-10913 Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Requ ...
aha.org2d
CMS releases proposed rule for 2026 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services Nov. 26 proposed changes to increase oversight of the Medicare Advantage and ...
Home Health Care News2d
CMS Takes Aim At Prior Authorization Requirements In Medicare Advantage
The Centers for Medicare & Medicaid Services (CMS) is proposing new limits on Medicare Advantage (MA) plans regarding prior authorization, utilization ...