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MedPAC recommends Medicare 2027 payment updates to Congress for inpatient, outpatient services
The Medicare Payment Advisory Commission Jan. 15 voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by the current law amount for 2027 and reiterated its recommendation to distribute an additional $1 billion to safety-net hospitals by transitioning to a Medicare safety-net index policy.
UHG launches pilot program for rural hospitals in 4 states to cut MA payment collection times by half
UnitedHealth Group announced Jan. 14 that it launched a six-month pilot program to reduce Medicare Advantage payment processing times by half for rural hospitals in four states.
Health Plan Accountability Update: October 2025
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.
Senate report says UHG used ‘aggressive strategies’ to increase MA payments
A Senate Judiciary Committee report released Jan. 12 found that UnitedHealth Group used “aggressive strategies” to maximize its Medicare Advantage risk-adjustment scores and collect higher payments from diagnoses of MA enrollees.
AHA urges MedPAC to recommend higher payment updates ahead of January meeting
The AHA Jan. 9 urged the Medicare Payment Advisory Commission to consider, during its next meeting Jan. 15-16, higher payment updates for the inpatient and outpatient prospective payment systems than those discussed in December and to examine Medicare Advantage’s role in access to care and provider financial stability.
CMS releases form for submitting provider complaints on Medicare Advantage plans
The Centers for Medicare & Medicaid Services has implemented an online form for providers to submit complaints regarding Medicare Advantage plans.
CMS announces pilot on MA service level data collection for initial determinations, appeals
The Centers for Medicare & Medicaid Services released a memo Dec. 16 announcing the agency’s intent to conduct a voluntary pilot in 2026, called the Service Level Data Collection for Initial Determinations and Appeals.
CMS proposes 2027 Medicare Advantage, Part D policies
The Centers for Medicare & Medicaid Services Nov. 25 issued a proposed rule for policies governing the Medicare Advantage and Part D programs for 2027.
Voices on Value: A Conversation with William Shrank, M.D.
Priya Bathija, vice president of AHA’s The Value Initiative, talks with William Shrank, M.D., senior vice president and chief medical officer, Humana, to get his insights on health care affordability, value and the strategies that Humana is using to disrupt health care delivery.