Commenting today on proposed changes to Medicare Advantage and Part D payment policies for calendar year 2019, AHA voiced strong support for the Centers for Medicare & Medicaid Services’ proposal to expand the types of supplemental benefits that MA plans can offer to better manage beneficiary health. "We also generally support CMS’s proposals that would allow plans to better prevent opioid misuse and addiction,” wrote AHA Executive Vice President Tom Nickels. “However, we continue to remain concerned about increasing the use of encounter data for purposes of risk adjustment.” Noting that provider data collection efforts were not designed to support MA risk-adjustment calculations, AHA encouraged CMS to reconsider the use of encounter data until issues related to data quality and provider and plan burden are addressed.

Related News Articles

Headline
The National Institutes of Health today selected several universities to partner with communities in Kentucky, Massachusetts, New York and Ohio to study the…
Headline
The Centers for Medicare…
Headline
"Medicare for All" sounds like a good idea ... but we have a better way to meet today’s challenges, create a healthier tomorrow – and advance health in America.
Headline
Beginning June 11, hospitals, physicians and other eligible providers may submit notices of intent to apply to participate in the Jan. 1, 2020 start date for…
Headline
The Centers for Medicare…
Headline
Sen. Bernie Sanders, I-Vt., and 14 of his Democratic colleagues today introduced the Medicare for All Act of 2019, legislation that would create a national…