The Physicians for MA Beneficiaries, a Coalition of 22 value-based care provider organizations collectively treating over 200,000 Medicare beneficiaries at more than 800 locations, have submitted two letters addressing the Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies. Both letters were sent to the U.S. Centers for Medicare & Medicaid Services (CMS) and address the adverse impact on MA beneficiaries from the new risk adjustment model being implemented. The letters highlight significant concerns related to the quality of care and scope of services for the Coalition members and their Medicare patients in the future if the MA funding continues to fall under the new model that excludes risk adjustment for many common and costly chronic conditions.
Supplement letter urges immediate changes to V28 risk adjustment initiative Annapolis, MD March 27, 2024 – Physicians for MA Beneficiaries (the Coalition), a non-profit organization of physician groups providing value-based care to Medicare patients, has distributed a supplemental comment letter to the Centers for Medicare & Medicaid Services (CMS) addressing the adverse impact on Medicare […]
On January 18, the Physicians for Medicare Advantage Beneficiaries held its inaugural board meeting. The new nonprofit Board approved the bylaws, the election of officers and reviewed its initial workplan. The mission of the Coalition is focused on educating Congress and the U.S. Centers for Medicare & Medicaid Services (CMS) as to the adverse impact on […]