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Advising the Congress on Medicare issues
MedPAC > Recommendations > The Medicare Advantage program: Status report (2)

The Medicare Advantage program: Status report (2)

March 15, 2016

The Congress should direct the Secretary to:

  • develop a risk adjustment model that uses two years of fee-for-service (FFS) and Medicare Advantage (MA) diagnostic data and does not include diagnoses from health risk assessments from either FFS or MA, and
  • then apply a coding adjustment that fully accounts for the remaining differences in coding between FFS and Medicare Advantage plans.

Topics: Part C (Medicare Advantage).