High value Medicare is accomplished by innovations in care delivery and dynamic payment arrangements. These advances are achieved when providers, as well as beneficiaries, work with plans to help system delivery models evolve. Emerging models in Medicare Advantage focus on teams, the identification of high risk, high need patients, and new community partnerships to improve care.
Medicare Advantage focuses on primary care, early intervention, care coordination, and wellness programs to slow disease progression and improve health status, particularly for beneficiaries with chronic conditions. Medicare Advantage provides all Traditional Fee-For-Service (FFS) Medicare…
Key Facts: • Medicare Advantage encounter data are detailed records about Medicare Advantage enrollees health care. • CMS uses encounter data to determine and validate payments, as well as to evaluate the MA program. •…
Rose Maljanian Even before the COVID-19 pandemic took hold in our communities earlier this year, change was already afoot in the American health care system as payers and providers increasingly move to demonstrate and reward value…
