AHA Comments on Definition of "Reasonable and Necessary" for Purposes of Medicare Coverage Determinations

AHA to CMS on Proposed Revision to Definition of ‘Reasonable And Necessary’ for Purposes of Medicare Coverage Determinations
November 2, 2020

AHA comments on the Centers for Medicare & Medicaid Services’ proposed revision to the definition of “reasonable and necessary” for purposes of Medicare coverage determinations. View entire comment letter under Key Resources. 

Related Resources

Advisory
Member
The Centers for Medicare…
Letter/Comment
Public
AHA urges CMS to take swift action to hold Medicare Advantage (MA) plans accountable for inappropriately and illegally restricting beneficiary access to…
Advancing Health Podcast
Public
Medicare Advantage or MA Plans are another way for beneficiaries to get Medicare Part A and Part B coverage delivered through private insurance companies.
Case Studies
ChristianaCare has teamed up with Kuumba Academy Charter School in Wilmington, Delaware, to establish a new student-based health center that will provide…
Advisory
Member
An arbitrator has ordered that Anthem Insurance Company, Inc. (“Anthem”) pay a group of 11 acute care hospitals in Indiana (“hospitals”) $4.5 million as…
Advancing Health Podcast
Public
Since the onset of the COVID-19 pandemic, digital solutions, including mobile health apps, patient portals and telehealth serve as a critical access point for…