CMS Issues RFI Requesting Thoughts on Medicare Advantage
CMS seeks feedback from a wide variety of stakeholders on ways MA can:
- Advance Health Equity;
- Expand Access to Coverage and Care;
- Drive Innovation to Promote Person-Centered Care;
- Support Affordability and Sustainability; and
- Engage Partners
CMS poses numerous questions within each of the categories in the RFI. We’ve reviewed the RFI and have collapsed the CMS questions into the following areas. We are seeking feedback from members around the country about their recent experiences with Medicare Advantage and how things have changed over time in the areas of:
- Contracting
- Payments in relationship to Medicare fee-for-service payment and any value-based arrangements/payment agreements you may have with an MA plan
- Provider network requirements and when excluded
- Prior authorizations and other utilization management approaches used by MA plans
- Access to care issues you’ve observed
- Your estimated administrative burden from working with MA plans and
- Any data you think CMS should collect about MA and Special Needs plans that may be useful for providers or beneficiaries.
We’ve put together a list of more detailed questions on each of these topics to help inform our comments to CMS by hearing from you. All information provided by members will be aggregated when including it in the LeadingAge comments on the RFI. Members’ comments will not be individually identified. All information submitted by members will be used for this RFI and other advocacy efforts in both the Administration and Congress.
Please email any feedback on the linked questions to Nicole Fallon by August 22 so they can be aggregated and included in the LeadingAge comments to CMS on the RFI and at an upcoming meeting with CMS Deputy Administrator and Director of Medicare, Meena Seshamani. Members can submit comments directly to CMS on the RFI at: http://www.regulations.gov but they are due no later than August 31.
Most Recommended
December 18, 2024
Year-End Package Analysis: Wins, Ins, and Outs for Aging Services
December 10, 2024
4 Top Tech Themes from 2024
January 03, 2024
Pathways for Foreign-Born Workers
November 27, 2024
Analysis: November 2024 LTC Surveyor Guidance Updates
Recently Added
January 10, 2025
LeadingAge Supports Property Insurance Update, Urges More HUD Action
January 08, 2025
Colleagues on the Move, January 8, 2025
January 07, 2025