The Centers for Medicare & Medicaid Services seeks stakeholder input on the potential for actual or perceived conflicts of interest when Medicare-approved accrediting organizations offer fee-based consulting services to the Medicare-participating providers and suppliers they accredit. The agency said the information will help it determine whether future rulemaking, guidance or changes to the Medicare AO application and renewal process are needed. “We are concerned that the practice of offering both accrediting and consulting services – and the financial relationships involved in this work – may undermine the integrity of accrediting organizations and erode the public’s trust,” said CMS Administrator Seema Verma. The request for information will be published in Friday’s Federal Register, with comments accepted for 60 days. AHA plans to seek input from members and comment on the issue, including whether a strong “firewall” between an organization’s accrediting arm and consulting arm provides sufficient protection from conflicts of interest.

Related News Articles

Perspective
Public
More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries. We have seen enrollment…
Headline
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase…
Headline
The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for…
Headline
The AHA Jan. 26 expressed support and provided its perspective on certain provisions within the Centers for Medicare & Medicaid Services’ proposed…
Headline
The AHA Jan. 20 made recommendations to Congress on modernizing the Medicare Access and CHIP Reauthorization Act. Among the proposals, the AHA recommended…
Headline
The comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for…