Community Health Plans Propose Medicare Advantage Overhaul
Inside Health Policy publishes an early look at the policy recommendations included in MA for Tomorrow, including the overhaul of quality measures and realignment of the risk adjustment system.
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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