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Health Plan Accountability Update - October 2024
CMS released a new complaint process for providers seeking assistance from the agency in resolving Medicare Advantage claims issues.
Health Plan Accountability Update: July 2023
CMS released a final rule that would increase oversight of Medicare Advantage plans and better align them with Traditional Medicare.
Health Care Plan Accountability Update: March 28, 2024 - July 8, 2024
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
CMS notifies states it will not approve or match funds for designated state health, investment programsÂ
The Centers for Medicare & Medicaid Services April 10 announced that it does not intend to approve new or extend existing requests for federal funds to match state expenditures on designated state health and designated state investment programs
AHA comments on CMS Marketplace Integrity and Affordability proposed ruleÂ
The AHA April 11 commented on the Centers for Medicare & Medicaid Services’ 2025 Marketplace Integrity and Affordability proposed rule.
Analysis finds Marketplace enrollment more than doubled since 2020
A KFF analysis published April 3 found that Health Insurance Marketplace enrollment reached a record-high for a fourth consecutive year and has more than doubled since 2020.
AHA releases first health care plan accountability update for 2025
The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicar
Health Plan Accountability
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers, member updates and earned media.
CMS issues proposed rule changing federal marketplace enrollment and eligibility requirementsÂ
The Centers for Medicare & Medicaid Services March 10 released new proposed policies for health insurance marketplaces, including the issuers, agents and brokers who assist marketplace enrollees.