The AHA today encouraged Congress to continue access to Medicare Advantage special needs plans for vulnerable populations and give all MA plans more flexibility to tailor their products based on enrollees’ needs. “In some cases, a small subset of enrollees would benefit from a certain specialized service, but plans are unable to offer it due to the resources required to make such a service available to everyone,” AHA said in a statement submitted to the House Ways and Means Committee for a hearing on promoting integrated and coordinated MA care. To advance those goals, AHA also recommended the program expand access to telehealth services; allow plans to offer non-medical social services; better account for the social factors that influence access to care; and integrate hospice services into the benefit package.

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The Department of Health and Human Services and the Centers for Medicare & Medicaid Services released a proposed rule June 12 seeking to codify the…
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The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and…
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The Centers for Medicare & Medicaid Services June 12 issued a final rule revising how the agency conducts oversight of accrediting organizations that…
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The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…
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The Hospital Insurance Trust Fund has been projected to become insolvent in 2033, according to the Medicare Board of Trustees’ annual report released June 9.…
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Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss how payment delays in Medicare…