Per the notice below, the five biggest developments in managed care and health insurance for the first quarter of 2024 have been issued by the American Bar Association (ABA).

5 BIG THINGS IN MANAGED CARE AND INSURANCE

1.       CMS finalizes rule to expand access to health information and improve the prior 
authorization process: https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process.
2.      HHS makes initial offers for 10 prescription drugs in first cycle of Medicare Drug Price Negotiation Program: https://www.hhs.gov/about/news/2024/02/01/biden-harris-administration-make-first-offer-drug-price-negotiation-program-launches-new-resource-hub-help-people-access-lower-cost-drugs.html#:%7E:text=HHS%20announced%20the%2010%20initial,participate%20in%20negotiations%20with%20Medicare.
3.      MACPAC recommends changes to Medicaid managed care policy to better monitor denials and improve the appeals process: https://www.macpac.gov/wp-content/uploads/2024/01/slides_denials-and-appeals_January-2024_updated.pdf.
4.      CMS announces launch of Transforming Maternal Health Model to improve pregnancy, childbirth and postpartum care by driving funding towards participating state Medicaid agencies: https://www.cms.gov/newsroom/press-releases/hhs-improve-maternal-health-outcomes-new-cms-care-model-expands-access-services-other-proven.
5.      Over 20 million sign up for Affordable Care Act marketplace plans during 2024 Open Enrollment Period: https://www.cms.gov/newsroom/press-releases/historic-213-million-people-choose-aca-marketplace-coverage#:%7E:text=The%20Biden%2DHarris%20Administration%20announced,the%202024%20Open%20Enrollment%20Period.