Medicare Payment Coalition Defines Legislative Agenda for Frail Beneficiaries

The Medicare Payment Coalition has agreed to a proposal for Medicare+Choice payment reform for the frail elderly. The proposal would: a) hold harmless Medicare demonstrations for the frail elderly from the new risk adjustment formula current until an appropriate payment method is devised; b) create a "complexity payment" for specialized plans serving a disproportionate share of frail elderly until a new payment formula is developed; and c) require HCFA to continue research in specified areas with a view toward identifying a payment approach that includes, but is not limited to, risk adjustment methods.

For more information, contact Valerie Wilbur.

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