ACHP is asking CMS to grant flexibility on meeting deadlines for implementing new health data exchange requirements.
Medicare Advantage
Delivering High-Quality Care and Coverage to America’s Seniors
The evidence is clear: Medicare Advantage (MA) provides exceptional coverage and care for nearly 23 million Americans. The program provides a convenient, coordinated health coverage and drives greater value and accountability in Medicare. MA provides all the benefits of fee-for-service Medicare, plus enhanced benefits, high value coverage, better health outcomes, greater transparency and superior customer experience – all at a lower cost.
ACHP is dedicated to ensuring access to outstanding care and coverage through MA, supporting policies that prioritize the health of seniors and further enhancing the program.
To the Point
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04/14/2021
BLOG — Improving Equitable Access to Care for Seniors: Congress, CMS Need to Quickly Act on Audio-Only Risk Adjustment
ACHP urges CMS to include audio-only encounters in Medicare Advantage risk adjustment, to ensure vulnerable seniors retain access to care. -
04/26/2021
FACT SHEET — Support the Quality Payment Relief Act
The Quality Payment Relief Act ensures seniors enrolled in high quality Medicare Advantage plans receive full benefits and aren't hurt by the benchmark cap. -
01/12/2021
FACT SHEET — Medicare Advantage: The Choice of America's Seniors
Today, the evidence is clear: Medicare Advantage is working, providing exceptional coverage and care for nearly 23 million seniors. -
01/12/2021
FACT SHEET — Medicare Advantage: Savings for Seniors and the Nation
By aligning incentives around caring for people, MA is helping improve health outcomes and reduce costs for millions of Americans. -
01/12/2021
FACT SHEET — Medicare Advantage: Higher Standards, Quality Coverage
Medicare Advantage prioritizes quality over volume of care by encouraging more effective, coordinated and managed health care.
Deep Dive
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03/15/2021
LETTER — Permitting Audio-Only Encounters in Medicare Advantage Risk Adjustment
ACHP urges Congress to take action to allow all Medicare Advantage encounters — including audio-only — in risk adjustment calculations. -
11/30/2020
LETTER — 2022 Advance Notice and Call Comment Letter
In a comment letter on the 2022 Advance Notice and Call for Medicare Advantage, ACHP provided recommendations on adjustments to calculating the benchmark cap and provided recommendation in light of the COVID-19 pandemic. -
04/13/2020
LETTER — Letter to Congressional Leadership on COVID Relief Proposals, Phase IV
ACHP urges Congress to ensure continuity and access to coverage and a stable health insurance market in the next COVID-19 relief package. -
05/04/2020
LETTER — Recommendations to CMS on Advancing Value in Medicare Advantage Star Ratings
CMS can continue advancing value in the Medicare Advantage Star Ratings program by updating and modernizing current quality measures. -
03/03/2020
NEWSLETTER — Medicare Advantage Special Enrollment Enables Seniors to Shop for Quality Coverage
The nearly 24 million seniors enrolled in Medicare Advantage (MA) have until MarchRead more
Problem | Solution
PROBLEM: Current law unintentionally prevents most seniors in high-quality Medicare Advantage plans from receiving expanded benefits, reduced premiums and/or lower co-pays. Counties across the country are hurt by a limit known as the MA benchmark cap. It is unfair to penalize seniors based on where they live.
SOLUTION: Congress can remedy this by paying full MA quality bonuses. The Medicare Advantage Quality Payment Relief Act (S. 1114, H.R. 2131) ensures seniors enrolled in high quality MA plans receive full benefits and are not hurt by the cap. Learn more here.
Resource Library Search
CLIP — Investors Are Banking on Primary Care Providers Moving to Value-Based Care (Modern Healthcare)
Nonprofit health plans such as Independent Health are making front-end investments to help primary care providers shift to value-based models.
OP-ED — Support Federal Workforce Wellbeing: Improve the FEHB Shopping Experience
ACHP calls for an overhaul of the FEHB plan comparison tool in order to enhance the plan shopping experience for federal employees.