Community Plans Propose MA Benchmark, Network Adequacy Reforms

The Alliance of Community Health Plans on Monday (Nov. 6) released its second set of Medicare Advantage reform recommendations focused on restructuring the benchmarking process and improving network composition shortly before CMS laid out its latest Medicare Advantage proposed rule revamping broker payment, prior authorization policies and risk adjustment audits. ACHP in June issued the first half of its recommended overhauls , which included revamping quality measures and bonuses, restructuring marketing parameters and broker compensation, and realigning the risk adjustment...