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.
ACHP supports the Administration’s health care modernization and digital transformation initiatives to make the prior authorization process less burdensome for payers and providers and avoid care delays for patients.
ACHP’s comments on the 2024 Medicare Advantage Advance Notice include strong support for policies improving access and competition.
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.
