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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 Casalino , Greg Poulsen , Brian Miller , Betty Rambur , Cheryl Clark , Lynn Barr , Katelyn Smalley , Stacie Dusetzina , Cheryl Damberg , Centers For Medicare Medicaid Services , Medicare Payment Advisory Commission Med , Medicare Advantage , Medicare Payment Advisory Commission , Ledia Tabor , Medicaid Services , Lake Wobegon , Medicare Provider Analysis , Medicare Access ,

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 Hopkins , Betty Rambur , Brian Miller , Luis Serna , Michael Chernew , Randy Johnson , University Of Rhode Island , Medicare Payment Advisory Commission , Centers For Medicare Medicaid Services , Medicare Advantage , Medicaid Services , Payment Advisory Commission , Analyst 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 Carolina , United States , Scott Sarran , Cheryl Clark , Gina Upchurch , Larry Casalino , Brian Miller , Stacie Dusetzina , Betty Rambur , Michael Chernew , University Of Rhode Island , Johns Hopkins University , Centers For Medicare Medicaid Services , Medicare Payment Advisory Commission Med , Vanderbilt University Medical Center , National Cancer Center Network , National Cancer , Medicare Payment Advisory Commission , Medicare Advantage , Medpage Today , Medicaid Services , Senior Pharmassist , Triple Aim , Weill Cornell Medical School , Population Heath , Johns Hopkins ,

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 Rambur , Brian Miller , Health Affairs , Brian Miller , Betty Rambur , Mbulatory 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 States , New York , Olga Yakusheva , Bianca Frogner , Betty Rambur , Kaiser Permanente , University Of Rhode Island , University Of Washington , New York Times , University Of Michigan , Rhode Island ,