Raising the Bar on Quality

Like many successful programs, MA must evolve to keep pace with technological advances and unintended loopholes so that it can drive quality even higher, promote competition and choice, and produce real value for every federal dollar spent.

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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 address outliers and targeting audits to the most aggressive risk adjustment behaviors.

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Improving Consumer Navigation

MA for Tomorrow builds on initial efforts to rein in misleading marketing practices, limit broker payments and incentivize enrollment in high-quality plans.

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Modernizing Network Composition

MA for Tomorrow envisions a new set of standards that embrace virtual care and other innovative delivery models to meet seniors where they are and address workforce shortages.

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Transforming Benchmarks

MA for Tomorrow delinks benchmarks from fee-for-service without instituting competitive bidding that would diminish competition and harm consumer choice.

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