Nicole Hoffman

Summary: Proposed Policy Changes for Medicare Advantage Plans

What’s Happening: A members-only summary from Health Policy Alternatives, Inc. of the proposed policy changes for Medicare Advantage (MA) plans is available.  

What Else to Know: The proposed policies affect MA (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plans, and Programs of All-Inclusive Care for the Elderly. 

FDA Must Consider Alternatives to Laboratory Developed Test Proposals

What’s Happening: CHA submitted comments to the Food & Drug Administration (FDA) on proposed regulation of laboratory developed tests (LDTs).  

What Else to Know: The proposed rule would have significant unintended consequences for the delivery of medical laboratory services and would raise costs to the overall health care system.  

Tell Congress to Vote No on Site-Neutral Payment Cuts

What’s Happening: The U.S. House of Representatives is set to vote on the Lower Costs, More Transparency Act (H.R. 5378), which includes harmful Medicare site-neutral payment cuts as soon as Dec. 11.  

What Else to Know: CHA asks members to call or email your U.S. representative and urge them to vote no.  

Summary: Details of Final Outpatient Payment Rule

What’s Happening: A comprehensive summary of the finalized payment updates and policy changes to the Medicare outpatient prospective payment system for calendar year 2024 is available.  

What Else to Know: The provisions are generally effective Jan. 1, 2024.  

Updated Guide on Final Rule Implementation Now Available

What’s happening: A members-only guide from the American Hospital Association to support hospitals in the implementation of the Medicare Advantage (MA) final rule is now available for calendar year 2024.  

What else to know: The document provides a summary of key provisions of the final rule, which seeks to align MA coverage with traditional Medicare more clearly and to increase oversight of MA plans.