Fierce Healthcare February 24, 2023
A top executive with Optum is worried the proposed Medicare Advantage advance notice will harm care for dual eligible beneficiaries by pulling out more than 2,000 diagnostic codes. ((Getty/designer491))
ARLINGTON, Virginia—A controversial proposed Medicare Advantage (MA) payment rule will make it harder to provide care for dual-eligible beneficiaries and people with low incomes, a top Optum executive said Thursday.
The proposed advance notice—which lays out 2024 payment rates and policies for MA and Part D—could impact care by pulling out roughly 2,000 diagnostic codes providers use to bill for care, said Patrick Conway, CEO of care solutions at UnitedHealth Group’s health services subsidiary.
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