Input needed: AHCA is re-releasing its Medicare Advantage (MA) data initiative for 2025, following its initial launch in 2024. AHCA members are asked to share MA  data using thi​s tool​​ for August 2025 and/or September 2025 to support continued efforts to assess how plans are implementing new regulations, particularly those related to prior authorizations for skilled nursing facility (SNF) care.

• The revised tracking tool includes administrative costs associated with these authorizations and appeals.

Please refer to the instructions tab for guidance on reporting and submission. All submissions will be de-identified and aggregated before sharing them with a PAC Coalition and policymakers to support continued advocacy for MA reforms and ensure beneficiary access to medically necessary post-acute care.

• Please reach out to AHCA Population Health Policy Analyst Rohini Achal​ with any questions.

Why it matters: This initiative aligns with ongoing federal oversight and growing attention to MA practices. A recent CMS 2024 audit and enforcement report, as well as a July Congressional hearing, underscore the importance of collecting timely data to inform advocacy and policy efforts.