Judith Waltz and Alexandra Shalom Author Article on Medicare Advantage 2023 Final Rule

Foley & Lardner LLP Partner Judith Waltz and Associate Alexandra Shalom authored the article, “Medicare Advantage: 2023 Final Rule Focuses on Social Determinants of Health and Utilization Review,” published by the American Health Law Association.

The authors discuss the Final Rule issued by the Centers for Medicare & Medicaid Services (CMS) which amends regulations for Medicare Advantage (MA), Medicare Cost Plan, the Medicare Prescription Drug Benefit programs, and Programs of All-Inclusive Care for the elderly. Set to take effect on June 5, 2023, the authors place a particular focus on the Final Rule’s health equity and utilization management provisions and suggest the changes may have significant impact on MA Organizations (MAOs), providers and suppliers of services to MAOs, and Medicare managed care beneficiaries.

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