By Allyson Y. Schwartz Picture this: a global pandemic when doctors and health care personnel are most critical – yet doctors’ offices were shuttered and access to care was limited and uncertain. We don’t have…
Value Based Care
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.
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Fact Sheet
Value-Based Insurance Design in Medicare Advantage
January 27, 2021 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…
Fact Sheet
Encounter Data in Medicare Advantage
January 12, 2021 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. •…