High-quality health plans that meet consumers’ needs should be rewarded over plans that prioritize chasing risk adjustment revenue. In reality, aggressive risk adjustment practices in Medicare Advantage (MA) are delivering bigger payments than bonuses for high-quality coverage and care.
Representing just 10% of the MA market, ACHP member companies dominate the quality charts with 33% of all 5-star enrollees.
In a letter to CMS Administrator Brooks-LaSure, the Alliance of Community Health Plans offered its support of CMS using RADV regulation to address coding violations which will protect the Medicare dollar and address improper payments.
Washington, D.C. (March 31, 2023) – The Alliance of Community Health Plans (ACHP) released the following statement in response to the Centers for Medicare and Medicaid Services’ (CMS) announcement of the 2024 Medicare Advantage Rate Notice: Medicare Advantage (MA) is the choice of America’s seniors. With over 31 million enrollees and growing, MA provides quality … Continued
ACHP offered support for policies to improve access and competition and looks forward to partnering with CMS on a larger effort to improve quality metrics.
ACHP is the voice of a unique approach in health care today, one that puts the patient at the center with plans and clinical teams collaborating to improve health outcomes and reduce costs. Our advocacy focuses on providing policymakers with tested solutions, rooted in a model that is proven to deliver better value for patients, employers and taxpayers.
