Health Care Reform Brings Pay-for-Performance to Medicare Advantage to Reward Quality of Care

OPEN MINDS Weekly News Wire Strategic Health Care News The recently adopted health care reform law will implement quality-based reimbursement for Medicare Advantage plans. Starting in 2012, the Centers for Medicare and Medicaid Services (CMS) will award bonuses to Medicaid Advantage plans that score four or more stars. The bonuses will represent up to five percent of local fee-for-service costs. The highest rated plans will also be able retain a larger percent of rebates the plans use to reduce beneficiary cost sharing and/or to enhance benefits. A recent analysis by Avalere Health found that 47.2 . . .