CMS Renews URAC's Medicare Oversight Role for Another Six Years
Published Date: 9/5/2025
Notice
Summary
CMS has renewed URAC’s approval to check and approve Medicare Advantage Health Maintenance and Preferred Provider Organizations for another 6 years. This means URAC can keep making sure these plans meet Medicare’s rules, helping people get quality care. The renewal keeps things running smoothly without extra costs or changes for now.
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
URAC Approved for Six More Years
If you have Medicare Advantage through a Health Maintenance Organization (HMO) or a local Preferred Provider Organization (PPO), the Centers for Medicare & Medicaid Services renewed the Utilization Review Accreditation Commission's (URAC) ability to deem those plans compliant for a term of 6 years. That means URAC can keep checking and approving these plans to ensure they meet Medicare’s rules.
No Immediate Cost or Disruption
The renewal keeps accreditation operations running smoothly and, according to the notice, does not cause extra costs or changes for now. If you are in a Medicare Advantage HMO or local PPO, this renewal means no immediate change to how your plan is reviewed or approved.
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