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Health Plan Accountability Update
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Health Plan Accountability Update - June 2025

HHS announces initiative with insurers to streamline prior authorizations.
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Healthcare Equality Network sends letter to CMS on claims denials by commercial insurers 

The Healthcare Equality Network July 3 sent a letter to the Centers for Medicare & Medicaid Services, expressing concerns about claims denials by commercial insurance companies.
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HHS Deputy Secretary Palm discusses Change Healthcare attack and future of cybersecurity

Department of Health and Human Services Deputy Secretary Andrea Palm addressed AHA Annual Membership Meeting attendees about the Administration’s work to improve access to care and increase the number of people with health insurance, as well as the Change Healthcare cyberattack and what cybersecurity looks like in the future.
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AHA podcast: The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare

Chris Barber, president and CEO of St. Bernards Healthcare, discusses the problems certain MA plan practices can create for patients and their caregivers, especially for rural hospitals and health systems that face a unique set of challenges in caring for their communities.
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CMS administrator highlights response to Change Healthcare cyberattack, prior authorization improvements

The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the age
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CMS announces changes to AHEAD Model for states

The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design Model, including a new end date of Dec. 31, 2035.
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CMS issues guidance to help states make interim Medicaid payments to providers impacted by Change Healthcare attack

The Centers for Medicare & Medicaid Services March 15 announced flexibilities to help states initiate interim Medicaid payments to health care providers impacted by the Change Healthcare cyberattack.
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HHS, CMS to form committee providing federal health program recommendations

The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory Committee for the Secretary of HHS and Administrator of CMS.
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New Coalition ad highlights President Trump’s support for Medicaid

A new advertisement by the Coalition to Strengthen America’s Healthcare highlights President Trump’s comments to “love