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Study finds nearly 3 million MA beneficiaries forced to find alternative coverage for 2026 

A JAMA study published Feb. 18 found that 10% of Medicare Advantage beneficiaries — approximately 2.9 million — have needed to find other health coverage in 2026 due to MA plans leaving the market.
Medicare Advantage

AHA submits comments on CMS proposed rule on prohibiting ‘sex-rejecting procedures’ for children

The AHA Feb. 17 submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.
Medicaid, Medicare, Child and Adolescent Health

Senate Aging Committee holds hearing on physician burnout 

The Senate Special Committee on Aging held a hearing Feb. 11 on issues impacting physician burnout.
Legislation and Legislative Advocacy, Workforce, Geriatric, Medicare Advantage, Workplace Violence

CMS announces state distribution of $50 billion in rural health funds

The Centers for Medicare & Medicaid Services Dec. 29 announced $50 billion in funds awarded to all 50 states through the Rural Health Transformation Program.
Rural issues, One Big Beautiful Bill Act (OBBBA), Advocacy & Public Policy, Access to Behavioral Health, Medicare, Capacity Planning, Reimbursement
Public

Providing Solutions to Address Challenges with MA Plans

More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries.
Medicare Advantage

Making our Voice Heard and Leading the Way to Advance Health in America

It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
Advocacy & Public Policy, Medicaid, Medicare, Medicare DSH, Medicaid DSH, Access to Behavioral Health, Workforce

House passes AHA-supported hospital-at-home extension bill

The House Dec. 1 passed the Hospital Inpatient Services Modernization Act (H.R. 4313), legislation extending certain Medicare waivers authorizing the hospital-at-home care program for five years.
Medicare, Hospital at Home

Analysis: MA insurers made 53 million prior authorization determinations in 2024

A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023.
Health Insurance, Medicare Advantage

CMS proposes Medicare Advantage, Part D payment changes for CY 2027 

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 will result in a net average year-over-year increase of 0.09% in MA plan payments, or $700 million.
Medicare Advantage, Medicare

AHA comments on 2027 Medicare Advantage, Part D policy proposals 

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.
Medicare Advantage