Medicare Advantage

The AHA provided comments to the Medicare Payment Advisory Commission Oct. 2 on a discussion from the commission’s September meeting on its examination of differences in post-acute care use between beneficiaries enrolled in Medicare Advantage and fee-for-service Medicare.
The Centers for Medicare & Medicaid Services announced Sept. 28 that it projects declines in average premiums for Medicare Advantage and Part D in 2027.
The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of Pennsylvania to file an amicus brief submitted in June in support of Jefferson Health’s challenge to Aetna’s “level of severity” reimbursement policy…
The Centers for Medicare & Medicaid Services July 27 released its Contract Year 2025 Part C and Part D Program Audit and Enforcement Report, outlining key compliance issues identified through Medicare Advantage and Part D audits and enforcement activities.
The American Hospital Association shares the hospital field’s comments on legislation being marked up by the Energy and Committee on July 21.
The American Hospital Association shares the hospital field’s comments on legislation being marked up by the Ways and Means Committee on July 15.
Medicare Advantage now covers more than half of eligible Medicare beneficiaries, making its impact on hospitals, health systems and patients impossible to ignore.
The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and hospital and post-acute care provider finances.
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 organizations regarding long-term care, inpatient rehabilitation services and admissions to skilled nursing facilities.