[Data are taken from previous RUPRI brief found here.] Research is needed to fully understand the dynamics of the market for MA plans in rural places, consequences for beneficiary health (comparisons of use of essential services, quality indicators with traditional Medicare beneficiaries), access to services (analysis of networks and access to nearest providers), and contract negotiations with and. [...] The Panel recommends CMS continue its dialogue with the research community to optimize use of the data by a diverse community of researchers. [...] When considering encounter data that should be collected, the panel recommends its use to complete the picture of quality of care. [...] Cost and Utilization of Different Supplemental Benefits When considering the cost (we assume the cost to the beneficiary) and utilization of supplemental benefits, the panel recommends making all data available, inclusive of cost and use of all supplemental benefits. [...] Healthy Competition in the Market To assess competition, integration, and enrollment concentration, the Panel recommends continuing to make available specific data and information about plans by county in which they are offered and have enrollees.
Authors
- Pages
- 3
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- United States of America
Table of Contents
- May 29 2024 1
- Centers for Medicare and Medicaid Services 1
- Department of Health and Human Services 1
- Attention CMS-4207-NCI By electronic submission at httpwww.regulations.gov 1
- RE CMS-4207-NCI Medicare Program Request for Information on Medicare Advantage Data 1
- Dear Administrator Brooks-Lasure 1
- Encounter Data 1
- Data Recommendations Related to Beneficiary Access to Care 2
- Prior Authorization and Utilization Management 2
- Cost and Utilization of Different Supplemental Benefits 2
- MA Marketing and Consumer Decision-Making 3
- Healthy Competition in the Market 3
- Sincerely 3
- The Rural Policy Research Institute Health Panel 3
- Keith J. Mueller PhD. Chair Alana Knudson PhD. Jennifer P. Lundblad PhD. MBA A. Clinton MacKinney MD MS Timothy D. McBride PhD Alva Ferdinand DrPH JD 3