Medicare Eyes Renewing URAC's Plan Approval Powers
Published Date: 5/16/2025
Notice
Summary
CMS is thinking about renewing URAC’s special approval to check and approve Medicare Advantage health plans like HMOs and PPOs. This means these plans can keep joining Medicare and Medicaid without extra hassle. If approved, it helps keep things running smoothly for millions of people who rely on these health plans.
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
URAC Renewal Keeps Medicare Plans
CMS is considering renewing the Utilization Review Accreditation Commission (URAC)'s "deeming authority" for Medicare Advantage Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). If renewed, these HMOs and PPOs can continue to use URAC approval to participate in the Medicare or Medicaid programs, which helps keep coverage running smoothly for millions of people who rely on these plans.
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