The Medi­care Pay­ment Ad­vi­sory Com­mis­sion unan­i­mously backed rec­om­men­da­tions that would re­duce Medi­care Ad­van­tage plan re­im­burse­ment by at least $200 mil­lion.

Modern Healthcare - - LATE NEWS -

The sug­ges­tions in­volve al­low­ing the HHS sec­re­tary to elim­i­nate bench­mark caps and the “dou­ble bonuses” now re­ceived by Medi­care Ad­van­tage plans. The cur­rent pay­ment for­mula uses out­dated spend­ing cal­cu­la­tions from 2010, ac­cord­ing to Scott Har­ri­son, a prin­ci­pal pol­icy an­a­lyst at Med­PAC. The Af­ford­able Care Act al­lows some coun­ties to re­ceive dou­ble qual­ity bonuses if they are in met­ro­pol­i­tan ar­eas with at least 250,000 peo­ple. About 19% of Ad­van­tage en­rollees are in dou­ble-bonus coun­ties, and 19% are in capped coun­ties. Med­PAC will for­mally vote on the rec­om­men­da­tions in Jan­uary and present its find­ings to Congress by March.

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