Improved Medicare Advantage Payments: Fairer Assessments for Seniors
This act aims to improve how Medicare Advantage plans are reimbursed to ensure fairer payments. These changes may affect how insurance plans assess seniors' health status and how they are compensated, potentially impacting the stability and quality of services provided.
Key points
Medicare Advantage plans will use two years of diagnostic data for more accurate health assessments.
Diagnoses from chart reviews or health risk assessments will not count towards payment calculations, aiming to prevent inflated costs.
The government will analyze coding differences between insurance types to ensure fair billing and prevent abuses.
Introduced
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