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Health Plan Accountability Update
Public

Health Care Plan Accountability Update: March 28, 2024 - July 8, 2024

The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
News

KFF: Medicare spent 27% more for people who disenrolled from MA than those continuously in Traditional Medicare

An analysis by KFF released last week found that in 2022, Medicare spent 27% ($2,585) more, on average, for individuals covered by Traditional Medicare after disenrolling from Medicare Advantage than those continuously covered by Traditional Medicare.
News

CMS announces record $2.1 billion in net savings for MSSP in 2023

The Centers for Medicare & Medicaid Services Oct. 29 announced the Medicare Shared Savings Program yielded a program-record of more than $2.1 billion in net savings in 2023.
News

CMS announces lower drug prices to begin in 2026 

The Centers for Medicare & Medicaid Aug. 15 announced it negotiated lower prices with drug makers for 10 high-cost, sole-source drugs, with the new prices becoming effective in 2026 for individuals with Medicare Part D coverage.
Letter/Comment
Public

AHA Comments on Medicare Transaction Facilitator Under Medicare Drug Price Negotiation Program

AHA comments on the Centers for Medicare & Medicaid Services information collection request regarding the Medicare Transaction Facilitator (MTF) under the Medicare drug negotiation program.
Case Studies

MLK Community Healthcare | California

As a Metropolitan Anchor Hospital (MAH), MLK Community Healthcare cis guided by the belief that all patients – no matter their insurance status – deserve access to high-quality primary and specialty care services.
Letter/Comment
Public

AHA Letter to CMS on Medicare Transaction Facilitator and Drug Negotiation Program

AHA shares feedback in response to the Centers for Medicare & Medicaid Services’ information collection request (ICR) regarding the Medicare Transaction Facilitator (MTF) and the Medicare drug negotiation program.
Letter/Comment

Letter to CMS Administrator Brooks-LaSure on the Higher Spending on Two Catheter Codes and the Impact on ACOs

The undersigned organizations write to request that accountable care organizations (ACOs) are held harmless from anomalous Medicare spending outside their control, such as the aberrant billing for catheters experienced in 2023.
Letter/Comment
Public

AHA Submits Comments on CMS Guidance For Medicare Drug Price Negotiation Program

AHA shares feedback on the Centers for Medicare & Medicaid Services’ draft guidance on the Medicare drug price negotiation program.