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These types of changes have the potential to improve member health, with benefits for both patients and the plan.

Owning and operating on our own platform is a tremendous differentiator and keeps RAM well positioned to quickly address new and evolving regulatory changes that are so common in our space.

The proposed rules would create national standards for certain appointment wait times and help states implement a rating system for enrollees to compare CHIP and Medicaid plans.

MA plans and other stakeholders may be able to use information on the health care impacts of SDOH to prioritize interventions, the researchers suggest.

Plans that familiarize themselves with the final rule and its requirements and prepare early will see a smoother transition in their prior authorization policies. They will also be able to provide more consistent, equitable care to a wider swath of their membership, helping to close gaps and ensure more people receive the best care possible.

"As policy makers consider alternatives to address potential overpayments in Medicare Advantage, they should also consider the evidence that MA plans provide fewer services while also achieving equal or better-quality performance relative to traditional Medicare on a broad array of measures,"

plans that are well prepared will be best positioned to continue providing high-quality, innovative care and succeeding in both the marketplace and in helping members live their healthiest lives.

We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs, and to deliver new capabilities to meet their needs

Organizations that explore these types of arrangements may strengthen their ability to fund solutions that both lower costs for the plan and improve the health of their most vulnerable members.

Multiple healthcare organizations have asked CMS not to finalize the proposal or to delay the proposed changes until further research is done on the potential impact.