STAT: Use Medicare Advantage to ready for value-based care: 5 key notes

Former CMS CMO Jeffrey Kang, MD, penned a column for STAT in which he argues Medicare Advantage should convert other providers to transition to value-based care.

Advertisement

Here’s what you should know.

1. Dr. Kang argues Medicare Advantage has been value-based since the 1970s.

2. Republican legislators advocate for Medicare Advantage. House Speaker Paul Ryan’s (R-Wis.) healthcare plan called for “immediate reinvestments into Medicare Advantage.”

3. Dr. Kang believes Medicare Advantage “gets a lot right” concerning value-based care.

4. Dr. Kang said his practice encourages preventive care and care management at both low premiums and out-of-pocket costs.

He wrote for STAT, “For instance, at our 39 centers across nine U.S. markets, ChenMed physicians spend 168 minutes per year face-to-face with each patient, compared to the national average of just 13 to 16 minutes. As a result, our patients average 38 percent fewer days in the hospital than the national average.”

5. Dr. Kang argued for the implementation of three specific measures:

  • Congress should repeal benchmark caps which cap payments to drive more providers to Medicare Advantage plans.
  • Increase seniors’ ease of access to Medicare Advantage plans.
  • Legislators need to monitor the consolidation in the healthcare industry.

More articles on coding, billing and collections:
ACOs yield gains over time, effective in reducing costs: 6 findings
Payers increasing scrutiny of coding compliance
Humana completely withdrawing from ACA marketplace — 4 key notes

At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 18–20 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.