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  • Washington Highlights

    AAMC Comments on Proposed Policy Changes to Medicare Advantage, Part D

    Contacts

    Mary Mullaney, Director, Hospital Payment Policies
    For Media Inquiries

    The AAMC submitted comments to the Centers for Medicare & Medicaid Services (CMS) on Feb. 13 in response to the Medicare Advantage (MA) and Part D policy and technical changes for the contract year 2024 proposed rule.  

    The letter noted the association’s support for using telecommunications to furnish services to Medicare beneficiaries and the requirement for Medicare Advantage Organizations (MAOs) to evaluate digital health literacy of beneficiaries enrolled in their plans. However, it noted that adequate reimbursement by MAOs for services furnished via telehealth is necessary.  

    The letter also noted the AAMC’s support for finalizing the prior authorization proposals in the proposed rule, stating that streamlining prior authorization requirements will reduce delays in care and physician burnout. 

    Finally, the letter asked the CMS to clarify that the proposal directed at the potential overpayments continues to include an adequate investigative period to quantify the impact of the overpayments. The association noted that this period is necessary to quantify the overpayments and should be in addition to the 60-day identification period that requires providers to remit any overpayments.