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Posts tagged with "Alliance of Community Health Plans"

National News

The Fight Over 2025 Star Ratings Begins

Changes to the Medicare Advantage star ratings calculation are already having major impacts for insurers and their shareholders as Humana saw its stocks plunge after announcing that only a quarter of its members are enrolled in plans rated four stars or higher for 2025. The Centers for Medicare and Medicaid Services (CMS) awards star...
National News

MA Update: AHA and ACHP Encourage CMS to Pass Rules for MA

The American Hospital Association (AHA) and the Alliance of Community Health Plans (ACHP) are asking the Centers for Medicare and Medicaid Services (CMS) to finalize its 2025 Medicare Advantage and Part D proposed rule that would provide a number of reforms for the MA program. In a lengthy letter highlighting several key points of the...
National News

Common Health Coalition: Five Major Health Sectors Join Together for Public Health

The joint commitment among the five founding members aims to leverage learned lessons from the COVID-19 pandemic response into actionable strategies that will strengthen the partnership between healthcare and public health systems. In March 2023, the Common Health Coalition (CHC) was formed by AHIP, the American Medical Association...
National News

Congress Advances Scrutiny of MA Plans for Misleading Information, Prior Authorization

Last week, the Senate Finance Committee held a hearing on the topic of "cracking down on deceptive practices" related to the advertisement of Medicare Advantage (MA) plans. The hearing covered a long list of issues with third-party marketers who represent MA plans, including allegations of false information, harassment, switching...
ACHP Proposes MA Overhaul in MA for Tomorrow Plan National News

ACHP Proposes MA Overhaul in MA for Tomorrow Plan

The Alliance of Community Health Plans (ACHP) demanded a major overhaul of Medicare Advantage and is asking the Centers for Medicare and Medicaid Services (CMS) and Congress to change the program's regulatory aspects. ACHP calls the new plan MA for Tomorrow, and will break down policies into five areas: improving quality, streamlining...
National News

Medicare Advantage Update: Studies Show Rise in Participation, Audio-Only Telehealth, Market Acquisitions

According to a new study, Medicare Advantage enrollment has doubled since 2010 and outperforms Traditional Medicare in most metrics. Black people and dually-eligible beneficiaries are also outpacing the growth of white people and non-dual eligibles in Medicare Advantage enrollment. In other news, stakeholders are requesting that the...
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