Qualified Health Plan Access Surveys: Were Your Results Actionable—and Did the Timeframe Affect Compliance with CMS and State Requirements?

Qualified Health Plan Access Surveys: Were Your Results Actionable—and Did the Timeframe Affect Compliance with CMS and State Requirements?

In the 2025 Final Rule, CMS released its expectations and reporting requirements to ensure timely access to care. By the second Friday in June each year, issuers that offer Qualified Health Plans (QHPs)—including stand-alone dental plans—in the federally-facilitated exchanges or the federally-facilitated Small Business Health Options Programs

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Health Plan Weekly | CMS’s Plan to Audit All MA Plans Brings More Bad News for UnitedHealth, Humana

Health Plan Weekly | CMS’s Plan to Audit All MA Plans Brings More Bad News for UnitedHealth, Humana

Health Plan Weekly, May 30, 2025 Amid a flurry of CMS announcements about health care price transparency and Medicaid issues, the agency on May 21 unveiled a bold plan to collect Medicare Advantage overpayments through the expansion of Risk Adjustment Data Validation (RADV) audits. Industry analysts say the news

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