Fierce Healthcare October 25, 2022
Frank Diamond

Most of the Medicare Advantage plans being rated above average means that there may be something wrong with rating system CMS uses, two experts argue. (Getty Images)

The grading system for Medicare Advantage (MA) doesn’t give consumers the information they need to compare health plans, and that can result in poor outcomes, especially for more vulnerable enrollees, argue experts in JAMA Health Forum.

Co-authors Joan Teno, M.D., of the School of Public Health at Brown University, and Claire Ankuda, M.D., of the Icahn School of Medicine at Mount Sinai, liken the system to the tongue-in-cheek sign-off for the fictional town of Lake Wobegon on the radio program “Prairie Home Companion” in which “all the children are above average.”
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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage
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