Health Affairs August 16, 2019
Medicare Advantage (MA) brings private-sector innovation to Medicare, and it offers valuable lessons for the Centers for Medicare and Medicaid Services (CMS) to apply to other models of care in traditional Medicare. Predictable capitated payments allow MA plans to make investments in care delivery and to offer creative, non-traditional services. The stars rating program, which offers positive financial rewards for quality improvement, is a stronger financial incentive than the negative quality adjustments that characterize some of CMS’s other value programs. Because of these features, MA is increasingly popular among beneficiaries: Between 2012 and 2018, the program grew by 7.2 million enrollees (57 percent), from 12.6 million to 19.8 million. Bipartisan majorities in Congress, as well as recent administrations, have been...
Today's Sponsors
Today's Sponsor