Against Industry Grain, Commenters Sound Off on ‘Sound’ MA Payment Proposals

  • Mar 16, 2023

    Since CMS proposed a modest rate increase and substantial changes to the risk adjustment model used to pay Medicare Advantage plans, insurers and their allies have come out swinging with very public responses. Industry-aligned Better Medicare Alliance (BMA) has been particularly vocal about its opposition to the proposals, spending $4.4 million on an ad campaign urging seniors to call the White House in opposition to potential MA cuts and commissioning a study estimating the detrimental effect the proposed changes could have on premiums and benefits. And while a recent BMA press release highlighted the formal comments submitted by dozens of groups urging CMS to delay the proposed changes, industry experts including scholars, policy experts and former CMS administrators have come out in support of the proposals they say address only some of the problematic practices in MA. Read more
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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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