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38 Results Found

News

OIG says MA, Medicaid managed care plans have limited, inaccurate behavioral health provider networks 

A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans offer access to a limited proportion of behavioral health providers, and inaccurately list 72% of in-network behavioral health care providers as being available.
Advisory
Member

Update: Congress Passes Health Care Funding, Extends Key Health Care Provisions

Congress has passed the Consolidated Appropriations Act of 2026 (H.R.7148), which consists of a short-term continuing resolution for the Department of Homeland Security (DHS) appropriations bill and a package of five full-year appropriations bills, containing conferenced legislation for the Departments of Defense, Labor, Health and Human Services, Education,
News

Making our Voice Heard and Leading the Way to Advance Health in America

It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
Advisory
Member

Implications for Hospitals and Health Systems as Partial Government Shutdown Looms

Specific government agency funding, including programs within the Department of Health and Human Services, is set to expire at midnight Jan. 30.
News

GAO says CMS should target behavioral health services in prior authorization audits

The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services target behavioral health services when auditing Medicare Advantage plans’ use of prior authorization.
Advisory
Member

HHS Proposes Actions Regarding ‘Sex-rejecting Procedures’ on Children

The Department of Health and Human Services (HHS) Dec. 18 proposed a series of regulatory actions intended to end the practice of “sex-rejecting procedures” (SRPs) on children.
Fact Sheets

Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries

Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Letter/Comment
Public

AHA Letter to CMS on the Rural Health Transformation Program

AHA urges the CMS to ensure that the Rural Health Transformation Program funding prioritizes payments to hospitals through an efficient and streamlined state application and award process.