The Future of Medicare Advantage: ACHP Urges Overhaul of Quality Measures, Risk Adjustment
AIS Health, a division of MMIT, interviewed ACHP’s Ceci Connolly and Michael Bagel for a blog on Radar on Medicare Advantage. Connolly and Bagel discussed why the five policy recommendations identified in MA for Tomorrow are of particular importance to ACHP member companies and how the Centers for Medicare & Medicaid Services can streamline quality surveys in the MA program.
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 …