Inside Angle

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Tag: Medicare Advantage

How well does the CMS-HCC risk adjustment model predict future expense?

August 26th, 2019 / By Samuel Young, MD

In my previous blog, “Demystifying Medicare Risk Adjustment,” I introduced the model that the Centers for Medicare and Medicaid Services (CMS) uses to predict future Medicare Advantage health expenditures—the CMS-HCC […]

Medicare Advantage Advanced Notice for 2020: Key insights

February 13th, 2019 / By Gretchen Mills

CMS has released the Advance Notice Parts I and II per the annual cycle of Medicare Advantage (MA) regulatory guidelines for the coming year. The Advance Notices provide the parameters […]

Implications of the 2019 Medicare Advantage Part 1 Advance Notice

January 10th, 2018 / By Gretchen Mills

On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]

Think bipartisanship is dead? Two words – Medicare Advantage

February 1st, 2017 / By Clark Cameron

Now that the masses have returned home from either the inauguration or protests in our nation’s capital, the Legislative and Executive branches have begun the daily scrum of governing. Given the polarized […]

Is value-based insurance design the answer to reducing healthcare costs?

January 9th, 2017 / By Steve Delaronde

Value-based insurance design (VBID) arrived in Washington, DC on the first day of 2017 when two of the largest federal government healthcare programs launched VBID demonstration programs.  The long-awaited Center […]

A look back at popular blogs of 2016

December 29th, 2016

Happy New Year and thank you to all our readers! Before we officially start 2017, catch up on five of Inside Angle’s most read blogs of 2016: Overcoming skepticism about […]

Observations from the corner of Medicare Advantage and MACRA

November 2nd, 2016 / By Clark Cameron, Gretchen Mills

In early October, CMS surprised everyone and published the highly anticipated Final Rule on MACRA well ahead of schedule. A number of blogs have since provided high-level summaries of the […]

MACRA Proposed Rule: What it means for Medicare Advantage

May 13th, 2016 / By Gretchen Mills

On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of […]

Medicare Advantage Star ratings and dual-eligible demographic rate adjustments – What’s next?

April 22nd, 2016 / By Gretchen Mills

As a way to provide better care to beneficiaries and reduce federal health care expenditures, CMS rates each MA plan annually using the Star rating system. Star ratings are based […]

Medicare Advantage 101

March 23rd, 2016 / By Clark Cameron

Over the past 10 years, Medicare Advantage (aka Medicare Part C) has become increasingly popular among beneficiaries and health plans. Seniors enjoy significant monthly cost savings over Original, fee-for-service Medicare, […]

Bundled Payment Incentives: Risk or Reward?

August 13th, 2013 / By Norbert Goldfield, MD, Richard Fuller, MS

In a recent New England Journal of Medicine article, “Bundle with Care — Rethinking Medicare Incentives for Post–Acute Care Service,” Dr. Judith Feder notes that bundled payment systems create incentives […]