📣Center for Medicare Advocacy is grateful to have joined Brown University School of Public Health's discussion, The Future of Medicare: The Rise of Medicare Advantage & What Comes Next, w/Ashish K. Jha Andrew Ryan David Meyers Georgia State University College of Law's Erin Fuse Brown & Arnold Ventures' Erica Socker Learn more: cahpr.sph.brown.edu

While patients are protected from costly surprise medical bills, new data shows repeated efforts to weaken the #NoSurprisesAct could ultimately lead to less savings for consumers, employers & taxpayers than initially projected.

A new CRFB.org brief calls for reforms to Medicare Advantage’s quality bonus program. MedPAC has called the QBP seriously flawed. It costs $15B a year, does not improve or reflect quality well, and does not provide meaningful information to beneficiaries choosing a plan.

CAHPR traveled to DC last week for The Future of Medicare: The Rise of Medicare Advantage & What Comes Next! "It was great to be able to get a group of experts together," said David Meyers, "to discuss solutions to one of the pressing domestic policy issues." Andrew Ryan

States lead the way on addressing rising hospital prices. OR capped hospital prices for the state employee plan and here's what happened: 📉 outpatient facility prices decreased 💰 OR saved $107M in the 1st 2 yrs ✅ no hospitals left the network or closed healthaffairs.org/doi/full/10.13…

New from Arnold Ventures: Reflections on #hcvalueweek & Accountable for Health's summit earlier this year. Learn how a shift away from fee-for-service payment can improve efficiency and provide high-quality, patient-first health care ⬇️ arnoldventures.org/stories/succes…

The MA quality program "was designed to incentivize MA plans to improve quality and to help beneficiaries select high-quality plans. The program has failed to achieve either of those goals..." More on MA's quality bonus program and potential reforms 👇

Couldn't agree more with Washington Post Opinions. Congress should act to get #siteneutral payment reform done this year. Medicare beneficiaries should not pay 2-3x more for routine services delivered in a hospital outpatient facility rather than a doctor's office.

Happy MedPAC report day! MedPAC's latest report reiterates the urgent need for Medicare Advantage reforms. Coding alone will lead to excess payments of $50B this year. And beneficiaries will pay $13B more in premiums due to overpayments to MA plans.

This somewhat complicated chart from the body that advises Congress on Medicare (MedPAC) is quite stunning when you think about it. It costs the government $83 billion more to provide coverage through private Medicare Advantage plans than in traditional Medicare.

New announcement from CMS Innovation Center: primary care providers in select ACOs can soon receive population-based payments. While specifics on the model are forthcoming, this is an exciting step. cms.gov/newsroom/press…

Center on Health Insurance Reforms is hosting a new webinar series, "Understanding Hospital Financing." Join us for the first webinar on Friday, 4/19, and hear from experts, state policymakers & more! Register to attend here: bit.ly/3TxDCyO

"Even though we served under presidents for different parties, we both recommended that Congress adopt policies advancing site-neutral payments to save patients and taxpayers money." - former HHS Secretaries Alex Azar and Kathleen Sebelius statnews.com/2024/04/18/sit…

Hospital systems have justified horizontal mergers for years claiming that larger scale will lower costs and raise quality. We now have the 3rd study showing that merged systems, even if in different markets, materially raise prices & don't improve quality measures. via STAT

This year's RAND data reiterates that the prices hospitals charge people with private insurance far exceed what Medicare pays (2.5x Medicare rates on average). An important driver of high prices? The market power of large, consolidated hospitals and health systems.

Health reform efforts in the past have been largely framed around expanding insurance coverage. Whenever the next health reform debate comes, it will likely be focused on the cost burden, including for those with insurance. Caitlin Owens Axios axios.com/2024/05/14/bid…

Check it out this Thursday!

Join our team! We're looking for someone to work on our Medicare and payment reform team. This is a great opportunity for someone earlier on in their career to learn more about these health policy issues and work with an amazing set of colleagues! Apply 👇arnoldventures.org/careers/health…

New CRFB.org brief: "Over the next decade (2025-2034), we estimate that the federal revenue loss from the nonprofit hospital tax exemption will total around $260 billion." crfb.org/papers/federal…

Paying the same price for routine services whether they’re delivered in a physician office or a hospital outpatient facility is a commonsense reform with strong bipartisan support. Tune in now to hear more at today’s Paragon Health Institute event. c-span.org/video/?537419-…