AHA to Congress: 6 recommendations for Medicare Advantage

In a letter to the House of Representatives, the American Hospital Association laid out its recommendations for improvements that can be made to the Medicare Advantage program.

Listed below is a brief rundown of the organization's six recommendations for the managed care option available to all Medicare beneficiaries at an additional cost.

  1. Continued access to Special Needs Plans, which are tailored to beneficiaries with specific needs, is an important goal for the AHA.
  2. Plan flexibility that offers enrollees a wider range of options. While standard plans are meant to avoid discrimination and offer equal care to all patients, tailoring plans to patient needs is important for improved care.
  3. Increased access to telehealth will increase convenience for patients and give them timely and effective care.
  4. Inclusion of non-medical services is important, as access to stable housing and employment is often as big a factor to a patient's health as their healthcare access.
  5. Inclusion of social factors beyond socioeconomic status in the Hierarchical Condition Categories in the risk-adjustment model, as more research reveals that social factors such as gender, community context and racial demographic impact patient outcomes.
  6. Hospice benefits for Medicare Advantage enrollees. 


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