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Member

Health Plan Accountability Update: October 2025

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.
Health Insurance, Medicare Advantage

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

Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries

Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Medicare Advantage, Access & Health Coverage, Medicare

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
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

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
Public

AHA Comments on CMS CY 2027 Proposed Rule for Policy and Technical Changes to Medicare Advantage and Part D Programs

The American Hospital Association (AHA) appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services proposed rule for policy and technical changes to the Medicare Advantage and Part D programs in contract year 2027.
Medicare, Medicare Advantage

Comment deadline nears for 2027 Medicare Advantage, Part D policy proposals

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.
Medicare Advantage