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GAO says CMS should target behavioral health services in prior authorization audits
The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services target behavioral health services when auditing Medicare Advantage plans’ use of prior authorization.
CMS to expand audits of MA plans
The Centers for Medicare & Medicaid Services May 21 announced it will immediately begin annual audits of all Medicare Advantage plans and work to clear a backlog of audits from 2018 through 2024.
AHA Senate Letter Supporting Improving Seniors’ Timely Access to Care Act
AHA expresses support for Senate legislation, the Improving Seniors’ Timely Access to Care Act.
AHA House Letter Supporting Improving Seniors’ Timely Access to Care Act
AHA expresses support House legislation, the Improving Seniors’ Timely Access to Care Act.
CMS releases draft guidance for third cycle of Medicare drug price negotiations
The Centers for Medicare & Medicaid Services May 12 released
AHA Summary of House Energy and Commerce Legislative Language
The House Energy and Commerce Committee May 11 released bill text in advance of its May 13 markup. The committee has been instructed to reduce deficits by $880 billion, with significant Medicaid cuts being considered.
CMS leaders share insights on deregulation, Medicare Advantage oversight
Leaders from the Centers for Medicare & Medicaid Services at the 2025 AHA Annual Membership Meeting May 5 discussed issues on the agency’s agenda in a fireside chat moderated by Ashley Thompson, AHA senior vice president, public policy analysis and development.
FY 2026 Transforming Episode Accountability Model Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long
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.
AHA Comments on Medicare Transaction Facilitator Under Medicare Drug Price Negotiation Program
AHA comments on the Centers for Medicare & Medicaid Services information collection request regarding the Medicare Transaction Facilitator (MTF) under the Medicare drug negotiation program.