AJMC June 18, 2021
Lauren Massaro, Allison Inserro

The Medicare Payment Advisory Commission (MedPAC) suggested several changes to Medicare Advantage (MA) plan benchmark calculations, with the intent to generate yield savings for Medicare, and urged CMS to streamline alternative payment model (APMs) where it can.

In its annual report to Congress this week, the Medicare Payment Advisory Commission (MedPAC) recommended several changes in how Medicare Advantage (MA) plan benchmark calculations are made due to growing concerns over a lack of yielded net savings for Medicare.

The report also made recommendations in 9 other areas, including streamlining alternative payment models (APMs).

Enrollment in MA plans has been growing, due to their enhanced benefits and low premiums. However, the report states, “over the 35-year history of private plan contracting in...

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Topics: CMS, Congress / White House, Govt Agencies, Insurance, Medicare Advantage, Payer, Payment Models, Provider, Value Based
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