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FAH Statement | Medicare | FAH Policy Blog Team

FAH Submits Comments on Proposed Changes to MA Program

Today, the FAH submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on that Agency’s proposed changes to the Medicare Advantage program.

FAH offered strong support for CMS’s proposal to eliminate the mandatory use of CMS-developed compliance training, which will improve employee training while reducing confusion and unnecessary burden.

FAH also expressed concern regarding some proposed policies that could shift burden and costs onto beneficiaries and health care providers, such as increased flexibility for Medicare Advantage Organizations (MAOs) to vary benefit design and cost-sharing limits, elimination of the “meaningful difference” requirement, elimination of the annual evaluation of MAO enrollment levels, and the reduction of MAOs’ minimum medical loss ratio requirements.

The letter also notes the importance of requiring adequate stop-loss insurance coverage for physician groups that bear risk, the need for greater transparency in MAO medical record requests, and the importance of provider communications with their MA patients regarding cost-sharing responsibilities.

Lastly, the FAH letter encourages CMS to maintain the requirement that MA providers enroll in traditional Medicare and suggests improvements to the MA Star Ratings System.