Plans must cover the same benefits as Traditional Fee-For-Service (FFS) Medicare, and these payments are risk adjusted to reflect the specific characteristics and anticipated cost of providing care to each beneficiary. Within this capitated payment, plans, providers, and community-based partners must work together to effectively care for the beneficiary. The goal of managing within a fixed payment is to encourage coordinated care that emphasizes prevention, customized care, and innovation to improve outcomes and prevent avoidable adverse events.
Washington, D.C. – Better Medicare Alliance, the nation’s leading research and advocacy organization supporting Medicare Advantage, responded to the Centers for Medicare & Medicaid Services’ (CMS) 2023 Medicare Advantage Rate Announcement. “While we continue to…
Washington, D.C. – Better Medicare Alliance, the nation’s leading research and advocacy organization supporting Medicare Advantage, responded today to MedPAC’s March 2022 report to Congress on Medicare payment policy. “We appreciate MedPAC’s acknowledgment that ‘beneficiaries…
Washington, D.C. – Better Medicare Alliance, the nation’s leading research and advocacy organization supporting Medicare Advantage, issued a pair of comment letters in response to the Centers for Medicare & Medicaid Services’ (CMS) 2023 Medicare…
