Ways and Means Health and Oversight Committees Examine Medicare Advantage; Prior Authorization and Upcoding Highlighted
July 22, 2025 | |
Ways and Means Health and Oversight Committees Examine Medicare Advantage; Prior Authorization and Upcoding Highlighted
The Ways and Means Health and Oversight Subcommittees held a joint hearing to examine the Medicare Advantage (MA) and potential reforms to the program. Witnesses emphasized that while MA is beneficial for many Medicare beneficiaries, certain actions could be taken to improve the program, including addressing upcoding and prior authorization, along with increased transparency. Members on both side of aisle… (Slifer, July 22, 2025) #Coverage Decisions, #Medicare Advantage, #Program Integrity, #Risk Adjustment, #Transparency