Hospitals Recommend MA Denials Transparency Measure To MUC

The Federation of American Hospitals has submitted a new quality measure to the 2024 Measures Under Consideration (MUC) list based on the accuracy of Medicare Advantage plans’ reporting of inappropriate care denials. FAH told Inside Health Policy it hopes the measure will eventually be tied to CMS’ star ratings, meaning plans’ payments would depend on the accuracy of their data and the number of inappropriate denials they’re making. The measure would go beyond CMS’ ongoing efforts to improve oversight...