AHA, FAH To CMS: Crack Down On MA Plans’ Inpatient Admission Criteria

December 4, 2023 at 6:45 PM
Updated Story The American Hospital Association wants to meet with CMS about what the hospitals allege are inappropriate restrictions by Medicare Advantage plans on inpatient hospital admissions while the Federation of American Hospitals is calling out UnitedHealthcare’s admissions policies for what the group alleges are violations of CMS’ MA rules. UnitedHealthcare says its MA plans meet CMS’ regulatory requirements, and AHIP says if the traditional Medicare population used Part A services at the same rate as beneficiaries...

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