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AHA comments on proposed Medicare Advantage payment and policy updates

March 6, 2014

The AHA today expressed support for Centers for Medicare & Medicaid Services proposals to increase Medicare Advantage beneficiary awareness of their cost-sharing responsibilities by requiring clearer, plain language descriptions in plan comparison information, but called on the agency to adopt additional guidance regarding substantial mid-year changes to provider networks. “The AHA believes it is important to ensure that MA enrollees have access to a selection of high-quality providers in or near to their communities, while not inhibiting care coordination and the growth of integrated care systems,” said Linda Fishman, AHA senior vice president for policy analysis and development, commenting on CMS’s draft payment and policy updates for Medicare Advantage for 2015. “The AHA also believes that Medicare beneficiaries should be able to rely on the information available about an MA plan when they select that plan.”