The Future of Medicare Advantage: ACHP Urges Overhaul of Quality Measures, Risk Adjustment

RISE Health publishes an article exploring the policy recommendations in MA for Tomorrow designed to modernize the Medicare Advantage program to foster choice and competition for America’s seniors.

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Pillars

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 …

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