CHA News

CHA Comments on Proposed Changes to Medicare Advantage Plans

What’s happening: CHA submitted comments on the proposed technical changes to Medicare Advantage plans for contract year 2025. 

What else to know: Comments were due to the Centers for Medicare & Medicaid Services on Jan. 5. 

In the letter, CHA offers detailed comments on proposals related to: 

  • Underpayment for 340B drugs 
  • Network adequacy requirements for outpatient behavioral health 
  • Medicare Advantage enrollee appeals rights and benefit coverage 
  • Supplemental benefits  
  • Annual equity analysis of utilization management policies and procedures 
  • Dual Eligible Special Needs Plans  
  • Policies regarding dually-eligible individuals  
  • Guardrails for plan compensation to agents and brokers