MedPage Today March 11, 2024
— Comparing MA plans with fee-for-service quality called “a hornet’s nest”
The methods used to compare quality between one Medicare Advantage (MA) plan and another are so seriously flawed that the system needs an overhaul, members of the Medicare Payment Advisory Commission (MedPAC) suggested last week.
A commission review has determined the program “is costly and not a good basis for judging quality,” MedPAC principal policy analyst Ledia Tabor, MPH, told the commission during a presentation Thursday. It does not promote the use of high-value care, nor provide beneficiaries with meaningful information about local plan quality, she said.
It’s also important because currently, the quality program — based on a five-star ratings system — pays higher-rated MA plans bonuses of...
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