Medicare: 5 Compliance Trends to Look for in Plan Year 2025

Prior authorizations, which are standard in private, traditional health insurance, are requirements that patients apply to their health insurance carrier prior to getting medical treatment. Behavioral health access CMS and individual states have renewed their focus on providing access to behavioral...

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Bibliographic Details
Published inInsurance Journal
Main Author Stephenson, Regina
Format Trade Publication Article
LanguageEnglish
Published San Diego Wells Media Group, Inc 28.05.2024
Subjects
Advertising
Authorizations
Disclosure
Drug use
Health care policy
Health insurance
Insurance coverage
Marketing
Medicare
Mental health
Substance use disorder
Trends
Online AccessGet full text
ISSN0020-4714

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Summary:Prior authorizations, which are standard in private, traditional health insurance, are requirements that patients apply to their health insurance carrier prior to getting medical treatment. Behavioral health access CMS and individual states have renewed their focus on providing access to behavioral and mental health services, and carriers that take a proactive approach to expanding their networks of service providers will be well-positioned to meet increasing scrutiny. Inpatient hospital care Partial hospitalization programs Intensive outpatient programs Group therapy Medication management Case management Changing MedSup plans Most regulatory trends affect Advantage and Part D the most, but Medicare Supplement providers are also subject to the winds of change.
ISSN:0020-4714