Perspectives from the AHA on Medicare Advantage Regulation


In response to a request for details on the Medicare Advantage programme, the AHA recently provided comments to the Centers for Medicare & Medicaid Services. In its letter, the AHA expressed concerns about specific Medicare Advantage organisations’ practises and policies that limit or postpone access to care; it also provided relevant factors for health equity, behavioural health access, and post-acute care facilities; it outlined implications for the program’s continued enrolment growth; and it highlighted the special value that incorporated health systems offer to Medicare Advantage beneficiaries. Furthermore, the AHA offered a number of concrete recommendations that one feels are required to hold Medicare Advantage firms accountable for complying with the law, safeguarding beneficiaries from damage, and guaranteeing the viability of the Medicare programme.