Becker's Healthcare May 8, 2023
More data is necessary to evaluate the quality of care Medicare Advantage beneficiaries with serious illnesses receive, a group of researchers wrote in the New England Journal of Medicine.
In a piece published May 6, researchers wrote that data is missing on the quality of care in Medicare Advantage and the availability of supplemental benefits, which are often used by beneficiaries with serious illness.
The researchers also said there are issues with CMS’ quality bonus program, which rates plan quality and provides bonus payments to high-quality plans. The program undersamples enrollees with serious illnesses like dementia, and there is not enough granular data provided on a plan, rather than contract, level, the researchers said.
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