CMS suspend enrollment into Elevance Medicare Advantage plans starting March 31 due to noncompliance with risk adjustment data requirements.
The Centers for Medicare and Medicaid Services is freezing enrollment in Elevance Health’s Medicare Advantage-Prescription Drug Plans for alleged noncompliance with risk adjustment and data submission ...
Federal regulators are planning to suspend enrollment in Elevance's MA plans at the end of March, in a rare and serious threat to the company’s finances.
The insurer-backed Better Medicare Alliance, a Medicare Advantage advocacy group, and over 100 other organizations sent a letter Feb. 27 to CMS Administrator Mehmet Oz, MD, urging the agency to modify ...
On January, 29, 2026, Centers for Medicare & Medicaid Services (“CMS”) published a final rule, Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related ...
CMS said Elevance had "substantial and persistent noncompliance" with requirements to submit information about its customers.
The Centers for Medicare and Medicaid Services (CMS) will suspend Elevance Health’s ability to enroll people in its Medicare Advantage plans if the insurer doesn’t comply with risk ...
As it continues to put a focus on addressing fraud, waste and abuse in healthcare, the CMS said it is also seeking feedback on additional fraud prevention strategies it could use in a future rule as ...
The Center for Medicare & Medicaid Services (CMS) will implement a six-month nationwide moratorium on the Medicare enrollment of DMEPOS supplier medical supply companies, according to a notice in the ...
"This conduct violates multiple statutory and regulatory requirements, including the obligation to submit accurate risk adjustment data through the required electronic systems, report and return ...