Healthcare DIVE June 14, 2019
Dive Brief:
- In its annual report to Congress, the Medicare Payment Advisory Committee issued three recommendations impacting Medicare Advantage plans, ER spending and primary care.
- The commissioners recommended Congress allow advanced practice registered nurses and physician assistants to bill Medicare directly, to shed light on current treatment and help ease primary care access issues.
- Concerned about the accuracy of Medicare Advantage encounter data, commissioners want MA plans to meet certain thresholds for submitting complete and accurate information. Commissioners are also pushing for national guidelines on coding for ER visits.
MedPAC commissioners are concerned about the quality of data CMS receives from the numerous health insurance plans that sell Medicare Advantage...
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