The Consolidated Appropriations Act of 2021 included a 3.75% increase in provider payments under the Medicare Physician Fee Schedule for 2021. However, these increased payments are not accounted for in 2021 payments to Medicare Advantage…
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
Report
2021 Physician Fee Schedule Changes Do Not Account for Impact on Medicare Advantage
April 27, 2021 Press Releases
Better Medicare Alliance, More than 30 Health Care Leaders Tell Congress: Support Audio-Only Telehealth
April 19, 2021 Washington, D.C. – Better Medicare Alliance, the leading research and advocacy group supporting Medicare Advantage, sent a letter co-signed by 33 organizations from across the health care spectrum announcing support for H.R. 2166/S.150, the Ensuring…
Letter
Letter: BMA, More than 30 Health Care Leaders Urge Support for Audio-Only Telehealth
April 15, 2021 This coalition letter, led by Better Medicare Alliance and signed by more than 30 other health care leaders, was sent on April 15, 2021 to the sponsors of the Ensuring Parity in Medicare Advantage for…