The Moran Company, an HMA Company PrincipalÌýClare Mamerow, will be a featured speaker in the upcomingÌýFoley HoagÌýLLP webinar titled, “The New Technology Add-on Payment (NTAP) Program: What Life Sciences Companies Should Know ºÚÁÏÍø Medicare’s Time-Limited Program.”
250 Results found.
Issue brief examines greater flexibility for primary care models
An issue brief released today outlines new Medicare payment models that offer greater flexibility and aim to shift more care to primary care models, moves that can improve quality and reduce costs. HMA authors, Jennifer Podulka, Yamini Narayan, and Lynea Holmes found the two newest primary care payment models, Global and Professional Direct Contracting (which will be re-branded as Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) beginning January 1, 2023) and Primary Care First offer more flexibility than previously released approaches and represent a promising step forward for primary care.
The report, , also notes that to increase the likelihood that models achieve overall cost savings and/or quality improvement, one option for the Center for Medicare and Medicaid Innovation is to test approaches that place greater value on primary care and give primary care providers greater flexibility to tailor care for people outside of a fee-for-service system. These changes could improve people’s access to care, the quality of care received, and quality of life.
CMS to accept applications for new Medicare ACO REACH model
This week our In Focus section reviews the Centers for Medicare & Medicaid Services’ (CMS) Innovation Center’s newly announced model – Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH). CMS will accept applications from organizations interested in participating and is particularly interested in partnering with provider-led organizations and similar groups with direct patient care experience and a strong track record serving underserved populations that focus on primary care to better manage Medicare beneficiaries’ health. Applications are due by April 22, 2022.
Webinar replay: summary and implications of the 2023 Medicare Advantage advance notice
This webinar was held on February 22, 2022.Ìý
The Centers for Medicare & Medicaid Services (CMS) recently released the 2023 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part C/D Payment Policies, which proposes important changes in plan payments, risk adjustment, Star Ratings, and other key financial and regulatory requirements for 2023.
During this webinar, consultants from Wakely Consulting Group, an HMA Company, provided an overview of the proposed changes, with an emphasis on the likely impact that the new rates and policies will have on Medicare Advantage bids, membership growth, quality, and strategy. Speakers also touched on other recent public statements from federal regulators that could point to additional future changes for Medicare Advantage plans.
Learning ObjectivesÌý
- Understand how the proposals in the Advance Notice will impact Medicare Advantage payment rates in 2023.
- Learn about updates to payment models and risk-adjustment methodologies, including a new effort to engage Medicare Advantage plans in value-based models that transform care.
- Find out how new initiatives to account for how well plans address equity and social determinants of health will impact Star Ratings.
- Understand the growth prospects for Medicare Advantage, including a look at how COVID-19 continues to affect plan membership growth, financial risk, and profitability.
HMA Speakers
Thomas Grivakis, Senior Consulting Actuary, Wakely
Rachel Stewart, Consulting Actuary, Wakely
CMS payment notice signals shift in COVID-19 policies for Medicare Advantage, Part D
This week our In Focus section reviews the Advance Notice of Methodological Changes for Calendar Year (CY) 2023 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies by the Centers for Medicare & Medicaid Services (CMS) on February 1, 2022. The Advance Notice includes proposed updates to MA payment rates and guidance to plan sponsors as they prepare their bids for CY 2023. It also shows CMS’ updates to Part D benefit parameters. Comments are due by 6:00 PM EST on March 4, 2022. The final Rate Announcement will be published by April 4, 2022.
CMS seeks new direction for Medicare Advantage and Part D on health equity and dual eligible integration
This week, our In Focus section highlights the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicare Advantage (MA) and Part D programs for contract year 2023 and how these changes may impact plan applications, bid submissions, and market dynamics for future years. The analysis and insight reflect the combined expertise of HMA and its companies including the Wakely Consulting Group and The Moran Company.
CMS changes boost overall Medicare Advantage star ratings
This week, our In Focus section highlights a Wakely white paper titled, . Authored by Suzanna-Grace Sayre and Dani Cronick and published January 2022, this paper outlines the CMS modifications to the 2022 Star Ratings due to COVID-19, quantifies the estimated impact on 2023 MA spending, and discusses how these changes could influence the MA market in 2023.
Former CMMI director joins HMA to help lead Medicare team
Amy Bassano, former deputy director for the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services, has joined national healthcare consulting firm ºÚÁÏÍø (HMA), taking the helm as a managing director of Medicare services.
HMA experts evaluate differences between Medicare Advantage and Fee-For-Service Medicare responses to the challenges of the COVID-19 pandemic
In aÌýnew reportÌýreleased by the Better Medicare AllianceÌý(BMA),ÌýHMA colleagues Zach Gaumer and Elaine HenryÌýconcluded that the greater flexibility of the Medicare Advantage plan model enabled plans to offer providers additional support during 2020ÌýthatÌýwere not found within theÌýFee-For-Service (FFS)ÌýMedicareÌýprogram. The report’s findings were previewed in a recent panel discussion during theÌýBMA’sÌý.Ìý
Key takeaways from CMS Innovation Center strategy refresh
This week, our In Focus section shares HMA’s takeaways from the Centers for Medicare & Medicaid Services (CMS) white paper on the CMS Innovation Center Strategy Refresh: .
New issue brief recommends strategic shifts for CMMI’s future: insights on Medicare innovation, balancing goals, and enhancing model success
This week, our In Focus highlights a recent issue brief, Center for Medicare and Medicaid Innovation: Recommendations for Future Direction, revisits questions raised in a previous HMA report and offers potential answers to guide progress and changes for demonstrations within the Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI) or the Innovation Center.
2022 Star Ratings, An Historical Year
This week, our In Focus provides an analysis of 2022 Medicare Advantage (MA) Star Ratings, including a look at how regulatory changes during the COVID-19 pandemic resulted in a record number of Medicare plans receiving historically high scores. HMA Managing Director Anthony Davis and Principal Sarah Owens rely on data from the Centers for Medicare & Medicaid Services (CMS) to take a deep dive into ratings for nearly 500 Medicare plans serving 26.8 million members.