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.

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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

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