The Medicare Advantage and Part D programs are a success when measured on metrics such as marketplace competition, consumer satisfaction and quality of care, but could be improved in a number of areas as part of continuous efforts to advance health care quality, health outcomes and health system efficiency, AHA Executive Vice President Tom Nickels told the Centers for Medicare & Medicaid Services yesterday in response to the agency’s request for information on how the programs might be improved. Specifically, AHA encouraged the agency to clarify program guidance for plans and providers in a timely manner; pay quality bonus payments irrespective of the benchmark cap; expand access to telehealth services; and allow plans to adapt benefits to the unique needs of some enrollees. In addition, AHA supports allowing plans to offer non-medical social services; adjusting the Hierarchical Condition Categories for sociodemographic factors; integrating hospice services; and extending access to special needs plans. The letter also offers policy recommendations to address high and rising prices for Part D drugs.

Related News Articles

Headline
The AHA today urged the Centers for Medicare…
Headline
The AHA Friday shared recommendations for developing a unified post-acute care prospective payment system as required by the Improving Medicare Post-Acute Care…
Headline
The Centers for Medicare…
Headline
The Department of Health and Human Services’ Center for Medicare and Medicaid Innovation today announced a new payment model for emergency ambulance services…
Headline
The AHA today expressed support for the Resident Physician Shortage Reduction Act, legislation that would add 15,000 Medicare-funded residency positions over…
Headline
The Centers for Medicare…