Community Plans Propose MA Benchmark, Network Adequacy Reforms
Inside Health Policy details the policy recommendations included in two MA for Tomorrow pillars covering benchmarks and network adequacy.
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 …