Proposed rule strengthens equity and behavioral health in Medicare Advantage program

Healthcare Finance News December 16, 2022
Susan Morse

A health equity index would be added to the star ratings program.

For the first time, the Center for Medicare and Medicaid Services is proposing to establish a health equity index in the Medicare Advantage and Part D Star Ratings program that would reward excellent care for underserved populations. The proposed rule would also update the Medicare Part D medication therapy management program to require that plans include all 10 core chronic diseases identified by CMS – including HIV/AIDS – in their medication therapy management targeting criteria.

Plans would also be required to provide culturally competent care to an expanded list of populations and to improve equitable access to care for those with limited English proficiency, through newly proposed...

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