How Better Medicare Alliance wants to improve Medicare Advantage: 5 things to know

Becker's Healthcare December 16, 2022
Rylee Wilson

Better Medicare Alliance, a pro-Medicare Advantage advocacy group, wants more frequent audits and more robust criteria for in-home health risk assessments for beneficiaries.

The group issued a set of recommendations to improve the public-private partnership for 2024 and beyond.

Here are five recommendations to note:

1. The group said Medicare Advantage plans should be audited each year, similar to how CMS audits ACA exchange plans each year. This would ensure certain plans are not audited more frequently and others not audited at all, the Better Medicare Alliance said.
2. Audit methodology changes should be proactive, rather than applied to past claims.
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