ACHP Pitches Cap on Medicare Advantage Marketing Spending, Broker Payments
Becker’s Payer Issues covers the policies in MA for Tomorrow aimed at addressing misleading marketing in the Medicare Advantage program. Proposed policies include limiting the amount of administrative fees plans can pay to brokers and incentivizing brokers to enroll beneficiaries in high-quality MA plans.
Recommendations
06-11-2023
Raising the Bar on Quality
MA for Tomorrow transitions away from topped out process measures, focusing on patient experience and outcomes, improving the collection of …
Recommendations
06-11-2023
Advancing Risk Adjustment for Care, not Codes
MA for Tomorrow overhauls the risk adjustment model by recalibrating the model on encounter data, scaling coding intensity adjustments to …
Recommendations
06-11-2023
Improving Consumer Navigation
MA for Tomorrow builds on initial efforts to rein in misleading marketing practices, limits broker payments and incentivizes enrollment in …
Recommendations
06-11-2023
Modernizing Network Composition
MA for Tomorrow establishes contemporary network adequacy standards that embrace virtual care, remote monitoring and other innovative delivery models.
Recommendations
06-11-2023
Transforming Benchmarks
MA for Tomorrow transforms the MA benchmark methodology, reducing the reliance on local fee-for-service costs and incorporating stronger incentives for …