ABA Issues List of Biggest 2024 First Quarter Managed Care and Insurance Developments
Per the notice below, the five biggest developments in managed care and health insurance for the first quarter of 2024 have been issued by the American Bar Association (ABA).
5 BIG THINGS IN MANAGED CARE AND INSURANCE
1. CMS finalizes rule to expand access to health information and improve the prior
authorization process: https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process.
2. HHS makes initial offers for 10 prescription drugs in first cycle of Medicare Drug Price Negotiation Program: https://www.hhs.gov/about/news/2024/02/01/biden-harris-administration-make-first-offer-drug-price-negotiation-program-launches-new-resource-hub-help-people-access-lower-cost-drugs.html#:%7E:text=HHS%20announced%20the%2010%20initial,participate%20in%20negotiations%20with%20Medicare.
3. MACPAC recommends changes to Medicaid managed care policy to better monitor denials and improve the appeals process: https://www.macpac.gov/wp-content/uploads/2024/01/slides_denials-and-appeals_January-2024_updated.pdf.
4. CMS announces launch of Transforming Maternal Health Model to improve pregnancy, childbirth and postpartum care by driving funding towards participating state Medicaid agencies: https://www.cms.gov/newsroom/press-releases/hhs-improve-maternal-health-outcomes-new-cms-care-model-expands-access-services-other-proven.
5. Over 20 million sign up for Affordable Care Act marketplace plans during 2024 Open Enrollment Period: https://www.cms.gov/newsroom/press-releases/historic-213-million-people-choose-aca-marketplace-coverage#:%7E:text=The%20Biden%2DHarris%20Administration%20announced,the%202024%20Open%20Enrollment%20Period.
5 BIG THINGS IN MANAGED CARE AND INSURANCE
1. CMS finalizes rule to expand access to health information and improve the prior
authorization process: https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process.
2. HHS makes initial offers for 10 prescription drugs in first cycle of Medicare Drug Price Negotiation Program: https://www.hhs.gov/about/news/2024/02/01/biden-harris-administration-make-first-offer-drug-price-negotiation-program-launches-new-resource-hub-help-people-access-lower-cost-drugs.html#:%7E:text=HHS%20announced%20the%2010%20initial,participate%20in%20negotiations%20with%20Medicare.
3. MACPAC recommends changes to Medicaid managed care policy to better monitor denials and improve the appeals process: https://www.macpac.gov/wp-content/uploads/2024/01/slides_denials-and-appeals_January-2024_updated.pdf.
4. CMS announces launch of Transforming Maternal Health Model to improve pregnancy, childbirth and postpartum care by driving funding towards participating state Medicaid agencies: https://www.cms.gov/newsroom/press-releases/hhs-improve-maternal-health-outcomes-new-cms-care-model-expands-access-services-other-proven.
5. Over 20 million sign up for Affordable Care Act marketplace plans during 2024 Open Enrollment Period: https://www.cms.gov/newsroom/press-releases/historic-213-million-people-choose-aca-marketplace-coverage#:%7E:text=The%20Biden%2DHarris%20Administration%20announced,the%202024%20Open%20Enrollment%20Period.
