From Medicare Advantage News - A group of speakers voiced strong support for the Medicare Advantage program at a July 24 House Ways and Means Health Subcommittee hearing that seemed more designed to let organizations air recommendations for protecting the program than to work for any specific legislation this year. Indeed, the panel’s chairman, Rep. Kevin Brady (R-Texas), who put together the hearing, asserted in his announcement of it that MA products “are being threatened by cuts in the Affordable Care Act and onerous regulations,” but did not mention any bill to deal with this. Read more
From Medicare Advantage News - CMS on July 16 took another step in the move toward the start of a long-delayed Recovery Audit Contractor (RAC) program for Medicare Advantage plans, as required under the 2010 Affordable Care Act. But the issuance by the agency’s Center for Program Integrity of a Statement of Work (SOW) for the MA RAC initiative still leaves attorneys with questions about how effective the program might be and what problems it… Read more
From Medicare Advantage News - A group of providers, patient-advocacy organizations and Medicare-Medicaid dual eligibles filed suit in California Superior Court in Sacramento this month in an effort to block the state’s CMS-backed duals initiative from proceeding. The judge in the case, Shelleyanne Chang, rejected the plaintiffs’ request for a temporary restraining order, but she did schedule a hearing on the lawsuit for Aug. 1. Read more
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