Medicare Advantage Plans
Expert articles and analysis related to medicare advantage plans.
AI Summary — Last 24 Hours
In the last 24 hours, significant focus has emerged on the sustainability of Medicare Advantage (MA) as the newly formed Healthcare Advisory Committee under HHS begins addressing modernization efforts for risk adjustment and quality measurement. Additionally, Senators Merkley and Cassidy have urged CMS to collaborate with Congress to combat issues of upcoding and overcharging by bad-faith actors within the MA sector, underscoring rising tensions around the need for regulatory oversight. These developments signal an urgent need for ACO leaders and payer strategists to reassess their strategies in light of potential changes to payment models and oversight that could impact their operations and sustainability in the MA landscape.
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A new Healthcare Advisory Committee will offer non-binding recommendations on ways to strengthen Medicare Advantage sustainability, including modernizing risk adjustment and quality measurement, accor...