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MedPAC Wrestles With How to Fix Deep Flaws in Medicare Advantage Quality Metrics

Comparing MA plans with fee-for-service quality called 'a hornet's nest'

Lawrence casalinoGreg poulsenBrian millerBetty ramburCheryl clarkLynn barrKatelyn smalleyStacie dusetzinaCheryl dambergCenters for medicare medicaid servicesMedicare payment advisory commission medMedicare advantageMedicare payment advisory commissionLedia taborMedicaid servicesLake wobegon

Congressional advisors grapple with Medicare Advantage data that reveals plenty on excess, but not much on access

Medicare Advantage risk scores continue to rise, inflating payments to the private plans that far exceed their actual costs

Johns hopkinsBetty ramburBrian millerLuis sernaMichael chernewRandy johnsonUniversity of rhode islandMedicare payment advisory commissionCenters for medicare medicaid servicesMedicare advantageMedicaid servicesPayment advisory commissionAnalyst andy johnson

10 Ways MedPAC Commissioners Think Regulators Should Fix Medicare Advantage Plans

Improvements needed in network accuracy and transparency regarding denial rates, they say

North carolinaUnited statesScott sarranCheryl clarkGina upchurchLarry casalinoBrian millerStacie dusetzinaBetty ramburMichael chernewUniversity of rhode islandJohns hopkins universityCenters for medicare medicaid servicesMedicare payment advisory commission medVanderbilt university medical centerNational cancer center network

4 reforms could save Medicare, Medicaid billions of dollars

Experts propose four solutions to reduce Medicare and Medicaid costs without harming patients, including restructuring ambulatory payments, reforming graduate medical funding.

Betty ramburBrian millerHealth affairsBrian millerBetty ramburMbulatory payments

Why are Kaiser Permanente workers on strike? The US health care system doesn t value them

The structural reasons behind the largest-ever health care worker strike.

United statesNew yorkOlga yakushevaBianca frognerBetty ramburKaiser permanenteUniversity of rhode islandUniversity of washingtonNew york timesUniversity of michiganRhode island

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