The MedPAC Blog

  • March 2016 report highlight: HRAs and risk adjustment

    by MedPAC Staff | Apr 26, 2016
    MedPAC’s March 2016 report contains two recommendations for the Medicare Advantage (MA) program. This post will focus on the MA recommendation pertaining to health risk assessments (HRAs).
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  • Including hospice benefit in the MA benefit package

    by MedPAC Staff | Feb 19, 2016
    The Medicare hospice benefit is not included in the Medicare Advantage (MA) benefits package. MA enrollees who elect hospice remain in their MA plans, but fee-for-service (FFS) Medicare pays for their hospice services. This carve-out of hospice from MA fragments care accountability and financial responsibility for MA enrollees who elect hospice.
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  • MedPAC examines MA and Part D plan accessibility

    by MedPAC Staff | Jan 19, 2016
    Every year, the Commission provides a status report on the Medicare Advantage (MA) and Part D programs. These reports were presented at our December and January meetings. To monitor each program’s performance, we examine enrollment trends, and plan availability for the coming year, as well as a variety of other factors.
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  • March report highlight: MedPAC quantifies plan coding practices

    by MedPAC Staff | Mar 27, 2015
    This year, MedPAC examined coding differences between beneficiaries in FFS Medicare and those enrolled in MA plans. We found that beneficiaries in MA had more growth in risk scores than beneficiaries who had remained in FFS. And those differences grew the longer enrollees stayed in MA.
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  • Do new Medicare beneficiaries choose Medicare Advantage right away?

    by MedPAC Staff | Sep 15, 2014
    If you missed the Commission meeting last week, you might have missed this piece of analysis. In 2012, about 28% of all Medicare beneficiaries (who have Part A and Part B) were enrolled in private Medicare Advantage (MA) plans. Recently, there has been a widely reported claim in the policy community that half of all new Medicare beneficiaries are now joining MA. The story sort of works like this: in 2012, the total number of beneficiaries in Medicare grew by two million, while the number of beneficiaries in MA grew by 1 million. These facts are true, but despite how it might sound, this does not mean that half of all new beneficiaries chose MA.
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