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Advising the Congress on Medicare issues
MedPAC > Recommendations > Care coordination programs for dual-eligible beneficiaries (1)

Care coordination programs for dual-eligible beneficiaries (1)

June 15, 2012

The Congress should direct the Secretary to improve the Medicare Advantage (MA) risk-adjustment system to more accurately predict risk across all MA enrollees. Using the revised risk-adjustment system, the Congress should direct the Secretary to pay Program of All-Inclusive Care for the Elderly providers based on the MA payment system for setting benchmarks and quality bonuses. These changes should occur no later than 2015.

Topics: Part C (Medicare Advantage).