Tag: Medicare Advantage

MedPAC Publishes March 2020 Report to Congress

The Medicare Payment Advisory Commission (MedPAC) published the March 2020 Report to Congress on Friday, March 13, 2020. As required by law, the Commission made recommendations for nine provider sectors in fee-for-service Medicare and reviewed the st...

MedPAC Discusses Innovation Improvements and Mandated Report to Congress

The Medicare Payment Advisory Commission (MedPAC) met on March 5-6 to consider presentations and recommendations from MedPAC staff related to quality improvement, risk adjustment and payment innovation. Addressing Medicare Shared Savings ...

MedPAC Releases 2019 Health Care Spending Data Book

On Friday, July 19, 2019, the Medicare Payment and Advisory Commission (MedPAC) released their 2019 Health Care Spending and the Medicare Program data book. The MedPAC Data Book provides information on national health care and Medicare spend...

CY 2020 MA VBID Marketing and Communications Guidelines Posted

The Center for Medicare and Medicaid Innovation (Innovation Center) posted CY 2020 marketing and communications guidelines for the Medicare Advantage (MA) Value-Based Insurance Design (VBID) model. This document provides communications and marketing ...

CMS Releases Additional Data Related to Risk Adjustment Data Validation Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) released additional materials, including study data, related to a previous proposed rule regarding Risk Adjustment Data Validation (RADV) audits.  In November 2019, CMS proposed a rule that would ...

MedPAC Releases June 2019 Report to Congress: Considers a Number of Payment Innovations for Clinician Payment, Medicare Advantage and Part B Drugs

On June 14, 2019, the Medicare Payment Advisory Commission (MedPAC) released its June 2019 Report to the Congress: Medicare and the Health Care Delivery System. Each June, as part of its mandate from the Congress, MedPAC reports on issues affecting t...

CMS Presents All-Payer Combination Option Overview Webinar

The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on May 21, 2019, from 3 to 4 pm ET, to provide an overview of the All-Payer Combination Option. The All-Payer Combination Option allows clinicians to become a ...

CMS Releases Final Part D Rule

On May 16, 2018, CMS released the final Part D and Medicare Advantage rule aimed at lowering drug prices. On May 16, 2018, the Centers for Medicare and Medicaid Services (CMS) released the final Part D and Medicare Advantage (MA) rule aimed at low...

CMS Releases All-Payer Guidance

The Centers for Medicare and Medicaid Services (CMS) is collecting information and documentation to determine whether payment arrangements qualify as Other Payer Advanced Alternative Payment Models (APMs) under the Quality Payment Program. Payers wi...

CMS Releases Medicare Advantage Quality Data

The Centers for Medicare and Medicaid Services released a report regarding disparities in quality of care received by Medicare Advantage (MA) beneficiaries.  The report discusses the distribution of race, ethnicity and gender among MA beneficiaries....

CMS Releases CY 2020 MA and Part D Flexibility Final Rule

The Centers for Medicare and Medicaid Services (CMS) finalized policies that will increase plan choices and benefits. This includes allowing Medicare Advantage (MA) plans to include additional telehealth benefits, improving MA and Part D Star Ratings...

Innovation and Quality Highlights from MedPAC April 2019 Meeting

The Medicare Payment Advisory Commission (MedPAC) met on April 4 to 5, 2019, in Washington, DC. MedPAC discussed a number of innovation and quality topics at this meeting.