7+ hour, 9+ min ago   (218+ words) 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 in MA plans increase significantly over the past two decades, and the Congressional Budget Office projects that MA…...

1+ day, 8+ hour ago   (129+ words) The Coalition to Strengthen America's Healthcare Feb. 5 released a new research brief examining the impact of proposed site-neutral payment policies on hospitals and patient access to care. The Coalition to Strengthen America's Healthcare Feb. 5 released a new research brief examining…...

4+ day, 20+ min ago   (109+ words) Survey finds prior authorization viewed as greatest hurdle in navigating health care'American Hospital Association A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms of…...

1+ week, 2+ day ago   (85+ words) Analysis: MA insurers made 53 million prior authorization determinations in 2024American Hospital Association A KFF analysis released today found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023. The report found that MA insurers fully…...

1+ week, 3+ day ago   (204+ words) CMS proposes Medicare Advantage, Part D payment changes for CY 2027American Hospital Association The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for calendar year 2027, which the agency estimates…...

1+ week, 3+ day ago   (106+ words) White paper explains use of mock claims for advanced explanation of benefits'American Hospital Association The AHA Jan. 26 released a white paper on addressing challenges in implementing an advanced explanation of benefits, which requires coordination among multiple providers, health plans and…...

1+ week, 4+ day ago   (125+ words) The AHA Jan. 26 expressed support'and provided its perspective on certain provisions within the Centers for Medicare & Medicaid Services" proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027. The AHA Jan. 26 expressed support and provided…...

2+ week, 3+ day ago   (151+ words) The comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for contract year 2027 ends Jan. 26. The comment period for the Centers for Medicare & Medicaid Services' proposed rule for…...

3+ week, 1+ hour ago   (144+ words) MedPAC recommends Medicare 2027 payment updates to Congress for inpatient, outpatient services'American Hospital Association The Medicare Payment Advisory Commission Jan. 15 voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services by the current law amount for…...

3+ week, 6+ hour ago   (214+ words) Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover both preventive and necessary care for individuals and families. The premiums are paid in good faith, as consumers count…...