HealthLeaders Media August 5, 2022
All of the tech asks from the agency’s new Medicare Advantage (MA) request for information (RFI).
KEY TAKEAWAYS
– Following a year of intense MA scrutiny, CMS seeks input to improve the program.
– Better data is one of the agency’s targets, with categories ranging from equity and competition dynamics to supplemental benefits, utilization management, and value-based care.
– In addition to other RFI questions on data exchange and interoperability, CMS seeks intel on health plan algorithm use, prediction capabilities, testing, validity, and potential bias.
To paraphrase the well-known children’s book, 2022 has been a terrible, horrible, no good, very bad year for MA.
Not in terms of enrollment growth and carrier profits, mind you. But the PR has been...
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