Policy Recommendations

Better Medicare Alliance is the leading coalition on Medicare Advantage. Our mission is to build a healthy future by advocating for a strong Medicare Advantage. 

As a community of experts, we are leading the way on health care through research, advocacy, and grassroots organization. Together, we are creating a path forward for innovative, modern health care.

Policy Priorities for Medicare Advantage 

  • Opportunities to expand enrollment.
  • Consumer-friendly support tools and enrollment materials. 
  • High quality care and accountability. 
  • Effective care for beneficiaries with multiple chronic conditions. 
  • Flexibility in plan design and innovation in care delivery. 
  • Value-based arrangements between plans and providers. 
  • Adequate payments to ensure stability. 
  • Accurate risk payments to ensure adequacy of resources for all beneficiaries. 

Recommendations for Action

  • Avoid disruption and encourage growth in Medicare Advantage.
  • Improve beneficiary support tools, such as Medicare.gov Plan Finder and enrollment materials.
  • Remove benchmark cap for high quality 4+ Star rated plans.
  • Permanently authorize Special Needs Plans (SNPs).
  • Increase flexibility for plan benefit design, supplemental benefits, care in the home, and telemedicine.
  • Support and strengthen the Star Rating System, including improving measures and re-establishing pre-determined quality thresholds (“cut points”).
  • Incentivize value-based and alternative payment arrangements between plans and providers.
  • Continued focus on Value-Based Insurance Design (V-BID) models.
  • Minimize disruption to Employer Group Waiver Plans (EGWPs) by revising payment formula changes.
  • Delay phase-in of Encounter Data as a diagnosis source until data accuracy and processes can be verified.
  • Freeze the coding intensity adjustment at the current statutory minimum.
  • Ensure accurate benchmark payments by using Traditional Fee-For-Service (FFS) Medicare data from individuals with both Part A and Part B for benchmark calculation.
  • Increase transparency by publicly releasing more impact analyses and data.