MedPage Today November 9, 2023
— Improvements needed in network accuracy and transparency regarding denial rates, they say
Medicare Payment Advisory Commission (MedPAC) members wrestled last week with how to prevent a range of frustrations they say providers and patients are encountering with Medicare Advantage (MA) plans.
Although the commissioners were just discussing ideas and didn’t make any formal recommendations, MedPAC staff will analyze the commissioners’ remarks for possible inclusion in an upcoming report to Congress — a report that will suggest regulatory changes to help the plans work better for patients and providers.
This year, the number of Medicare beneficiaries enrolled in MA plans topped 50% of 65.7 million eligible, and as MedPAC chair and Harvard health policy professor Michael Chernew, PhD, noted, the...
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