Health Affairs June 13, 2023
Since September 2021, an ongoing discussion on Health Affairs Forefront has provided an important forum for topics related to Medicare Advantage (MA). Authors have noted the growth of MA and have expressed sharply divergent views about the extent of MA overpayments and MA extra benefits and care coordination, including the social value associated with more generous MA payments. We (Ginsburg and Lieberman) attempted to sum up the MA debate and identify common ground.
A prominent thread in these Forefront articles has focused on the role of more intense coding of diagnoses in increasing MA plan payments, a question which the Medicare Payment Advisory Commission (MedPAC) directly addressed in its March 2023 Report. Previous overpayment estimates have not captured the effects...
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