Medicare Advantage (MA) Program

The aging population is increasing, which means that more Medicare beneficiaries, especially those 75 and older, have considerable morbidity, diminished quality of life, and a high degree of caregiver burden. The increase of medically complex Medicare beneficiaries has created a need for developing core measures for tracking and improving the quality of care this population receives. This article discusses how to leverage Medicare Advantage to support diverse older patients, a different framework to improve quality in Medicare, and the development of a care set of measures for age-friendly care.

On November 6, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise the Medicare Advantage (MA) Program, Medicare Part D, Medicare Cost Plan Program, Programs of All-Inclusive Care for the Elderly (PACE), and Health Information Technology Standards and Implementation Specifications. The proposed rule aims to strengthen beneficiary protections and guardrails to promote healthy competition and ensure MA plans best meet the needs of beneficiaries. It seeks to increase the percentage of dually eligible individuals enrolled in managed care who receive both Medicare and Medicaid services through the same organization...