Hospice News December 7, 2022
Jim Parker

When stakeholders consider ways to improve Medicare Advantage, they should take care not to romanticize fee-for-service Medicare in the process, SCAN Health Plan CEO Dr. Sachin Jain cautions.

Medicare Advantage (MA) is a growing force in health care. More MA plans emerge each year and the size of their beneficiary populations continues to grow. While the program currently does not cover hospice outside of the value-based insurance design (VBID) model demonstration, it remains one of the few reimbursement pathways for palliative care and services to address social determinants of health.

MA has come under fire from lawmakers and regulators in recent months regarding the plans’ marketing practices and prior authorization policies, as well as cost and quality concerns.

While Jain...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Medicare Advantage
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