Feb 11, 2019 | Legislation/ Budgets/ Macro, Payers
There has been recent activity on Capitol Hill regarding so-called “surprise billing” and the President has indicated support for legislation to protect consumers from unexpected medical bills. The issue has historically pitted providers and payers, both powerful interest groups, against one another, and most legislative activity to-date has been at the state level. While some recent state laws may serve as models for Federal legislation, Congress’ ability to reach consensus is far from certain. Click to read more.
Feb 7, 2019 | Medicare Advantage, Payers
With the recent release of proposed Medicare Advantage rates and policy updates for 2020, BRG is providing a series of briefs this week on Medicare Advantage, leading up to a discussion tomorrow on “the State of Medicare Advantage” at 11am EST (click here for more info). This brief uses the latest CMS data to provide an update on MA enrollment. Click to read more.
Feb 6, 2019 | Medicare Advantage, Part D, Payers
CMS released the 2020 Medicare Advantage (MA) Advance Notice and Draft Call Letter. The proposed rate updates are estimated to increase MA plan payments by +1.59%, with another +3.3% increase due to plan risk coding behavior. This brief discusses the proposed rate updates as well as proposed policy changes to MA and the Part D program. Click to read more.
Feb 5, 2019 | Hospice, Medicare Advantage, Payers
For several years, the CMS Innovation Center (CMMI) has been running a Value-Based Insurance Design model that allows Medicare Advantage plans to use innovative benefit design in limited geographies. CMMI has now announced expansion of the model nation-wide as well as additional plan flexibility. Click to read more.
