Medicare Advantage Focus: LeadingAge CMS Deregulation Comments

LeadingAge members continue to report numerous examples of the costs and administrative burdens of participating in Medicare Advantage. In comments submitted June 10, 2025 to the Centers for Medicare and Medicaid Services (CMS) request for information related to Executive Order 14192 "Unleashing Prosperity Through Deregulation," we offered multiple suggestions on how to streamline processes such as prior authorizations, concurrent reviews and payments by standardizing the format of these requests and by establishing a single portal through which they are to be submitted and responses from MA plans received.

Other recommendations, derived from member feedback, included establishing presumptive eligibility for a minimum duration of post-acute care services before a prior authorization must be submitted and that it should be tied to time to acclimate the patient to the setting and complete CMS-prescribed assessments to inform future care.

We also pointed CMS to our white paper on integrated services and recommendations from a stakeholder group-in which LeadingAge participated-on how to improve nursing home resident care when individuals are attributed to accountable care organizations.

Read our MA comments in full.

These comments are one of a package of responses LeadingAge submitted to CMS on their Deregulation RFI and to the Department of Housing and Urban Development. See this bulletin for further details and links to the other comment sections.