Gauging Payment Reform Progress in Medicare Advantage: Current State and Opportunities for Improvement

Policy Brief

Gauging Payment Reform Progress in Medicare Advantage: Current State and Opportunities for Improvement

Published date

May 30, 2018

Medicare Advantage plans are well-positioned to lead the transition from fee-for-service to alternative payment models. The program currently enrolls more than 1/3 of all Medicare beneficiaries and the flexibility given to plans makes it ideal for testing new models. However, the limited amount of publicly available information means little is known about what payment models are working well and why.

Maximizing the potential of Medicare Advantage to lead this transition requires better evidence that can help determine which reforms are promising and which ones to avoid. CMS can also play a critical role by releasing more data and finding ways to reduce provider burden to make it easier to participate in new payment models.

Duke-Margolis Research Team

Japinga

Mark Japinga, MPAff

Research Associate

William K. Bleser - Margolis headhot

William K. Bleser, PhD, MSPH

Assistant Research Director, Payment Reform and Population Health
Senior Team Member
2020 Intern Mentor
Anti-Racism and Equity Committee Member

olson

Andrew Olson, MPP

Associate Director, Policy Strategy and Solutions for Health Data Science

Robert Saunders

Robert Saunders, PhD

Senior Research Director, Health Care Transformation
Adjunct Associate Professor
Senior Team Member
Margolis Core Faculty