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MedPAC recommends lawmakers continue monitoring telehealth’s impact on healthcare access, quality and costs and consider that information in any additional permanent policy changes.

MA plans that embrace innovative plan designs and payment models can help ensure the security of the Medicare program going forward while providing the best and most holistic care for current members.

An inaccurate CMS-HCC risk score threatens to perpetuate structural barriers to health care faced by Black, Hispanic, Native American and other non-white MA beneficiaries by underfunding the health plans they rely on.

As the opioid crisis continues and MA enrollment rises, ensuring these members have access to affordable mental health should be of high importance for plans that want to help all members live their healthiest lives.

These types of changes have the potential to improve member health, with benefits for both patients and the plan.

Owning and operating on our own platform is a tremendous differentiator and keeps RAM well positioned to quickly address new and evolving regulatory changes that are so common in our space.

The proposed rules would create national standards for certain appointment wait times and help states implement a rating system for enrollees to compare CHIP and Medicaid plans.

MA plans and other stakeholders may be able to use information on the health care impacts of SDOH to prioritize interventions, the researchers suggest.

Plans that familiarize themselves with the final rule and its requirements and prepare early will see a smoother transition in their prior authorization policies. They will also be able to provide more consistent, equitable care to a wider swath of their membership, helping to close gaps and ensure more people receive the best care possible.

"As policy makers consider alternatives to address potential overpayments in Medicare Advantage, they should also consider the evidence that MA plans provide fewer services while also achieving equal or better-quality performance relative to traditional Medicare on a broad array of measures,"