Fierce Healthcare March 5, 2024
A new-look Medicare Advantage (MA) quality bonus program would better incentivize insurers and help individuals choose a more appropriate plan, a report from Urban Institute finds.
Authors Robert Berenson, M.D., and Laura Skopec spoke with six experts on how to best improve the program. They said that while public reporting programs don’t seem to have improved clinical or administrative performance, and bonus payments to high-performing plans now exceed $12 billion per year, there are several policies that could help.
First, the paper argues for stronger oversight of MA plans. It details a laundry list of items where MA could improve—prior authorization delays, predatory marketing practices and limited provider directories to name a few—by establishing more robust enforcement functions, something the...
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