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posted by Van Tate

on April 17, 2019

How Do Inaccurate Medicare Advantage Payments Affect Your County? This Map Will Show You

posted by Van Tate

on April 17, 2019

Nearly 22 million seniors and people with disabilities choose Medicare Advantage (MA) for their coverage. That’s because Medicare Advantage delivers better services, better care, and better value than traditional Medicare. These Americans deserve a stable MA program that helps them improve their health and their financial stability.

But the number of people eligible for Medicare continues to grow at a rate of about 10,000 per day. If the federal government does not more accurately calculate how it funds MA plans, it could mean higher costs and fewer services for seniors.

Today, through the Centers for Medicare and Medicaid Services (CMS), the federal government uses county benchmarks to calculate payment rates to MA plans. These benchmarks reflect what the federal government spends on care for everyone in traditional Medicare – whether they have Medicare Part A, Part B, or both. But that’s an apples-to-oranges comparison. Medicare Advantage is only available to people enrolled in both Part A and Part B. Using that population as the basis for MA payment benchmarks is a far more accurate approach – and more appropriate, according to federal law.

This map shows what would happen to payment rates to MA plans if the federal government bases its benchmark on people enrolled in both Part A and Part B. Click on any county to see the impact where you live and work.

NOTE: This interactive map includes functionality that is not available on mobile devices like the iPhone and iPad. Please view it on a desktop web browser like Google Chrome or Internet Explorer.

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