CMS Proposes MA Broker Oversight Following Congressional Pressure
Inside Health Policy mentions policy recommendations on broker payment from MA for Tomorrow in an article on a proposed rule from the Centers for Medicare & Medicaid Services.
Resources
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 …
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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 …
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Improving Consumer Navigation
MA for Tomorrow builds on initial efforts to rein in misleading marketing practices, limits broker payments and incentivizes enrollment in …
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Modernizing Network Composition
MA for Tomorrow establishes contemporary network adequacy standards that embrace virtual care, remote monitoring and other innovative delivery models.
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Transforming Benchmarks
MA for Tomorrow transforms the MA benchmark methodology, reducing the reliance on local fee-for-service costs and incorporating stronger incentives for …
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