Exciting times and innovation lie ahead for the MA industry as the US health care system continues the evolution from volume focus to value/quality focus.
On April 27, 2018, CMS released its long-awaited guidance on newly established benefit design flexibility for CY2019. CMS' new policy interpretations meaningfully broaden the options available to MAOs in designing benefit packages for 2019 and beyond. Click to the left for a full summary of the new guidance and Wakely's recommendation on strategic considerations and next steps.
Wakely's analysis on the new CMS guidance