AHIP Responds To CMS 2024 Advance Rate Notice For Medicare Advantage And Part D Plans

WASHINGTON, Feb. 3 (TNStalk) -- America's Health Insurance Plans issued the following statement on Feb. 1, 2023, and letter:

* * *

Matt Eyles, President and CEO of AHIP, issued this statement following the Centers for Medicare & Medicaid Services' (CMS) release of the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.

"More than 30 million of America's seniors and people with disabilities choose MA because it delivers better services, better access to care, and better value. MA also covers more racially diverse populations than original Medicare. As demonstrated by a letter signed by over 60 Senators, MA enjoys strong bipartisan support and is a prime example of the government and free market working together successfully.

"We are concerned with the potential adverse impact of the rate notice on seniors and people with disabilities, especially when taken together with the final risk adjustment data validation (RADV) rule and other policy changes proposed for next year. We will carefully review and analyze the details of the proposed notice and provide comprehensive, constructive feedback to CMS during the comment period to reinforce that CMS should not finalize payment policies that increase costs and/or reduce benefits for MA enrollees, especially when health care cost and inflationary pressures remain high. It is important to remember that 3 in 4 senior voters with MA are concerned about cuts to their benefits. And 4 in 5 senior voters say it is important for the federal government and the Biden Administration to protect funding for MA.

"Medicare Advantage provides affordable coverage to over 30 million Americans while delivering additional benefits that original Medicare does not. We look forward to providing comments to CMS that focus on strengthening and protecting this vital program for the people who depend on it for their health and financial well-being."

* * *

January 30, 2023

To: Chiquita Brooks-LaSure, Administrator, Centers for Medicare & Medicaid Services, Department of Health and Human Services, 200 Independence Avenue, SW, Room 445-G, Washington, DC 20201

Dear Administrator Brooks-LaSure:

We write to express our bipartisan support for the Medicare Advantage program and the high-quality care it provides to nearly 30 million older adults and individuals with disabilities.1 The number of Americans who choose Medicare Advantage continues to grow each year, with enrollment doubling over the last decade, resulting in Medicare Advantage serving nearly 50 percent of individuals eligible for Medicare. We appreciate your ongoing commitment to preserving and strengthening this critical choice for current and future Medicare beneficiaries. As the Administration considers updates to the program for plan year 2024, we urge you to ensure that any proposed payment and policy changes enable Medicare Advantage to continue providing the affordable, high-quality care our constituents rely on every day.

Medicare Advantage offers affordable coverage, with beneficiaries reporting spending nearly $2,000 less on out-of-pocket costs and premiums annually compared to fee-for-service Medicare./2 In 2023, average Medicare Advantage premiums will fall to a 16-year low of $18 per month and beneficiaries will have access to vital financial protections, including out-of-pocket spending limits and often prescription drug coverage for no additional premium./3 With 53 percent of Medicare Advantage enrollees living on less than $25,000 per year/4, combined with increasing pressures on Americans' budgets, it is critical that older adults and individuals with disabilities continue to have stable access to these cost protections that are only available in Medicare Advantage.

The Medicare Advantage program allows for plans to focus on prevention and care coordination, which results in better health outcomes. Additionally, the program supports an increasingly diverse population with varied health and socioeconomic backgrounds. In addition, the design of the Medicare Advantage program enables plans to address health-related social needs of such populations like food insecurity or lack of transportation, enhance the focus on primary care, and provide access to telehealth services and in-home care.

Looking to the future, we believe every Medicare beneficiary should receive clear, accurate, and timely information about their coverage options. We support robust oversight and regulation of advertising and marketing practices in Medicare Advantage, and building on new rules that went into effect for the 2023 open enrollment period, we urge CMS to continue to enforce stronger oversight of third-party marketing organizations. We also urge CMS to look at meaningful ways to continue to sustain and strengthen Medicare Advantage that protects beneficiaries' affordability and access and builds on the unique attributes of Medicare Advantage.

We are committed to our nearly 30 million constituents across the United States who rely on Medicare Advantage, and to maintaining access to the affordable, high-quality care they currently receive. We ask that the Administration provide a stable rate and policy environment for Medicare Advantage that will strengthen and ensure the long-term sustainability of the program--protecting access to its important benefits on which our constituents have come to rely.

We look forward to partnering with you to ensure that, through Medicare Advantage, tens of millions of older adults and individuals with disabilities continue to have access to comprehensive, affordable Medicare coverage choices.

Sincerely,

View co-signers here: https://www.ahip.org/resources/2023-senate-medicare-advantage-letter

Footnotes:

1/ Centers for Medicare & Medicaid Services (CMS). (November 2022). Monthly Contract and Enrollment Summary Report. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Contract-and-Enrollment-Summary-Report

2/ ATI Advisory. (April 2022). Medicare Advantage Outperforms Fee-For-Service Medicare on Cost Protections for Low-Income and Diverse Populations. https://atiadvisory.com/wp-content/uploads/2022/05/BMA-Medicare-Advantage-Cost-Protections-Data-Brief.pdf

3/ CMS. (September 29, 2022). Biden-Harris Administration Announces Lower Premiums for Medicare Advantage and Prescription Drug Plans in 2023. https://www.cms.gov/newsroom/press-releases/biden-harris-administration-announces-lower-premiums-medicare-advantage-and-prescription-drug-plans

4/ ATI Advisory. Medicare Advantage Outperforms Fee-For-Service Medicare.

* * *

Original text here: https://www.ahip.org/news/press-releases/ahip-responds-to-cms-2024-advance-rate-notice-for-medicare-advantage-and-part-d-plans