Washington, D.C. – (January 30, 2023) – Matt Eyles, President and CEO of AHIP, issued this statement following the Centers for Medicare & Medicaid Services (CMS) issuing its final rule regarding Risk Adjustment Data Validation (RADV) for Medicare Advantage plans:
“More than 30 million seniors and people with disabilities choose Medicare Advantage (MA) because it delivers better services, better access to care, and better value. For years, MA has been an example of a public-private partnership that works for American patients, consumers, and taxpayers.
“Our view remains unchanged: This rule is unlawful and fatally flawed, and it should have been withdrawn instead of finalized. The rule will hurt seniors, reduce health equity, and discriminate against those who need care the most. Further, the rule would raise prices for seniors and taxpayers, reduce benefits for those who choose MA, and yield fewer plan options in the future.
“We encourage CMS to work with us, continuing our shared public-private partnership for the health and financial stability of the American people. Together, we can identify solutions that are fair, are legally sound, and ensure uninterrupted access to care and benefits for MA enrollees.”
AHIP is the national association whose members provide health care coverage, services, and solutions to hundreds of millions of Americans every day. We are committed to market-based solutions and public-private partnerships that make health care better and coverage more affordable and accessible for everyone. Visit www.ahip.org to learn how working together, we are Guiding Greater Health.