Healthcare DIVE October 5, 2020
Rebecca Pifer

Dive Brief:

  • A key congressional advisory board seemed open to the idea of overhauling payment methodology in Medicare Advantage to save the program money, a move which would disrupt a quickly growing and highly lucrative program for insurers even as most expand their MA footprints for next year.
  • Currently, MA benchmarks are set on a county-by-county basis. But in a Thursday meeting, members of the Medicare Payment Advisory Committee toyed with the idea of a new payment model calculating MA payments by blending local and national spending.
  • However, commissioners were split on how to weight local versus national spending, with some leaning toward a more aggressive approach to MA plans and others worried about disrupting supplemental coverage, like cost-sharing...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider
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