AHCA Pursues Medicare Advantage Data to Enhance Compliance Monitoring
The American Health Care Association (AHCA) is seeking detailed Medicare Advantage data from providers to ensure compliance with prior authorization requirements and other regulatory rules. This initiative aims to monitor how effectively Medicare Advantage plans adhere to established compliance standards and streamline the authorization processes to benefit providers and patients alike. Additionally, a recent study highlights seven unmet needs commonly driving seniors with dementia into nursing home care, offering insights into potential intervention points to support aging in place.
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