This week, the Better Medicare Alliance (BMA) responded to the Senate Finance Committee’s request for recommendations based on experience and data-driven evidence that improve care for seniors with chronic conditions. Medicare Advantage (MA) plans have a long history of effective chronic disease management achieved through a focus on primary and coordinated care, preventive services, enhanced benefits, and close monitoring of enrollees’ health status over time.
BMA welcomes the opportunity to demonstrate MA plans’ success in improving chronic disease management and delivering better value for seniors. Congressional support for the continuity and stability of MA ensures the program remains a viable option for over 17 million seniors. We look forward to working with the Committee to advance our shared goal of delivering high-quality, high-value care for beneficiaries, improving patient outcomes, and containing Medicare spending on chronic disease.
Below are highlights from the letter:
- “MA has demonstrated sustained success in providing preventive services and coordinated care, improving chronic disease management, closing gaps in patient care, pioneering value-based contracts, reducing cost sharing, and expanding access to wellness, dental and vision that we believe can be informative to the Committee.”
- “Reports indicate that ‘private sector health insurers have extensive experience in using disease management and care coordination tools to effectively target and better engage patients that have chronic conditions’ and that MA plans ‘have an incentive to manage patient care across all settings.’”
- “MA is transforming access to care for beneficiaries with consistent and dynamic changes to the delivery system and by enhancing benefits to beneficiaries. MA plans focus on paying for value, improving prevention and management of chronic disease, and ensuring access to appropriate care while reducing unnecessary or ineffective care.”
- “The incentives in MA plans are to identify and treat chronic conditions early, avoid complications, prevent disease episodes, and as possible, reduce progressive worsening of the condition. Access to primary care practitioners and developing and maintaining an ongoing relationship with primary care is an important part of quality health care within MA plans."
To view the full letter, see here.