CMS finalizes certain changes to Medicare Advantage cost sharing limits
The Centers for Medicare & Medicaid Services yesterday finalized certain changes to Medicare Advantage maximum out-of-pocket and cost sharing limits for Medicare Parts A and B services that the agency proposed in 2020 to align with federal law. The final rule also codifies guidance on applying the changes beginning in contract year 2023; and requests comments on new or different ways to update and change the cost sharing limits in future years. CMS will publish the final rule in the April 14 Federal Register, with comments accepted for 60 days.
Related News Articles
Headline
The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure…
Headline
The Centers for Medicare & Medicaid Services announced Sept. 26 that average premiums for Medicare Advantage and Part D would decline slightly in 2026.…
Headline
The AHA expressed support Sept. 22 to House and Senate sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454/S. 2879), legislation that would apply a…
Headline
The Centers for Medicare & Medicaid Services Sept. 18 released a final rule on policy and technical changes to Medicare Advantage, the Medicare…
Headline
The AHA Sept. 15 expressed support for the Ensuring Access to Essential Providers Act, legislation that would require Medicare Advantage plans to cover…
Headline
The AHA Sept. 15 urged Aetna to rescind its recently announced “level of severity inpatient payment” policy, saying that it “could erode the transparency…