Medicare Advantage: Building on Success

NCHC Writers
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Nearly one in three Medicare beneficiaries exercise their option to receive their Medicare benefits through Medicare Advantage (MA) Plans and Medicare-Medicaid Plans (MMPs). In addition to providing important coverage choices, a well-functioning MA program can do much more. In fact, the MA program can contribute mightily to health care delivery and payment reform. However, only in a policy environment that supports innovative, high-value care will Medicare Advantage realize its full potential.

The following steps are essential:

  • Ensure MA payment accounts for the real costs of patient care, especially for frail and other high-cost populations.
  • Restore Quality Incentive Payments impacted by the MA benchmark cap.
  • Permanently reauthorize MA Special Needs Plans.
  • Provide regulatory relief to certain site of service and telehealth restrictions for the purpose of improving the value and quality of patient care
  • Promote consumer engagement in plan choice and innovation.
  • Grant plans more flexibility to deploy targeted non-medical social services, behavioral health, long-term care, and other interventions not normally covered by Medicare.

Recent Publications from NCHC on this topic:

NCHC Response to Request for Information on “2017 Transformation Ideas” for MA and Part D Programs

Joint letter to HHS Secretary Price regarding MACRA Credit for clinicians

FierceHealthcare: 10 organizations urge Price to give doctors MACRA credit for Medicare Advantage advanced APMs

Joint letter in support of reauthorization of Medicare Advantage Special Needs Plans (SNPs)

NCHC Comments on Administration’s Proposed Physician Payment Rule

After Debt Ceiling Deal, Congress Must Prevent Disruption to Nation’s Health System

NCHC Commends House Committees for Advancing Bipartisan Medicare Chronic Care Bills

Joint letter urging CMS to extend time-limited equitable relief for Marketplace enrollees who missed Medicare enrollment

Joint letter in support of H.R. 4006, the bipartisan Community-Based Independence for Seniors Act of 2017

NCHC, HLC, 80+ Organizations Urge House to Pass Bipartisan CHRONIC Care Act

NCHC letter in support of the Community Based Independence for Seniors Act (H.R. 4006)

Stakeholder Coalition Urges Verma to Prioritize Advanced Payment Model Participation at Innovation Center

Joint letter to Congressional leaders calling for commitment to passing bipartisan BENES Act

CMS’ Introduction of BPCI Advanced Model a Step in the Right Direction

NCHC comment letter on the Medicare Parts C/D proposed rule

Joint letter to Congressional leadership on Medicare extenders and vulnerable populations

Several Stakeholder Organizations Call on Congress to Pass Permanent Special Needs Plan Reauthorization

Statement on the Senate Budget Agreement Announced on February 7, 2018

NCHC Releases Major Health Care Affordability Report

Joint Letter: Secretary Burwell Meeting Request on MA Benchmark Cap – July 26, 2016
Joint Letter of Support for the Community Based Independence for Seniors Act (HR 4212) – June 6, 2016
NCHC Letter of Support: Medicare Advantage Quality Payment Relief Act of 2015 – February 3, 2016


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