Washington, D.C. – Ahead of the Centers for Medicare & Medicaid Services’ (CMS) annual Rate Notice process, in which the agency will announce key decisions related to Medicare Advantage beneficiaries’ funding for the 2023 plan…
Payment
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.
FEATURED NEWS
Press Releases
Poll Shows Overwhelming Support for Protecting Medicare Advantage Funding
January 12, 2022
The Real Story on Medicare Advantage Costs and Spending
November 19, 2021
by Mary Beth Donahue A recent Kaiser Health News article parroted a series of salacious claims on Medicare Advantage spending. “Critics have argued for years that Medicare Advantage costs taxpayers too much,” the article reports.…
Press Releases
Report: Medicare Advantage Delivers $32.5 Billion Annually in Additional Value to Seniors Through Lower Cost-Sharing, Extra Benefits
October 21, 2021 Better Medicare Alliance, the nation’s leading advocacy organization supporting Medicare Advantage, announced the release of a new report commissioned by its 501(c)3 research arm, the Center for Innovation in Medicare Advantage, and conducted by Milliman…