20 Sep The Task Force Issues Recommendations on Medicare Advantage Value-Based Care Measure
Today, the Health Care Transformation Task Force sent a letter to the Centers for Medicare and Medicaid Services providing additional guidance on the concept of a Medicare Advantage (MA) Value-Based Care measure. These recommendations supplement those submitted by the Task Force earlier this year. The new recommendations include:
- CMS should collect data on the types and prevalence of value-based contracts between MA plans and their provider networks.
- The basis for reporting should center on the Health Care Payment Learning and Action Network’s APM Framework.
- Any value-based care measure should not be included in the Stars Rating system – at least not at this time.
- The data collected on these arrangements should continue to be publicly reported.
- CMS should also collect data from MA plans on how they define success in value-base care beyond a percentage of their business in specific types of payment arrangements. Success metrics include specific strategies for reducing cost, and improving quality, and other qualitative metrics. There is benefit to understanding and sharing learnings about how MA plans define success in this regard.