State Support

On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.

The Medicare Health Outcomes Survey (HOS) aims to gather meaningful self-reported data from Medicare Advantage (MA) beneficiaries to measure health plan quality performance. As Congress and CMS seek to advance health equity and to better understand and quantify the quality of care received by Medicare beneficiaries, this report outlines recommendations to address the shortcomings of the HOS and modernize it to better reflect and understand the changing Medicare population.

Healthcare providers are adapting in response to technologies enabling remote work, staffing shortages, patient preferences, and the competitive landscape of inpatient care.

Allison Rizer outlines in Health Affairs how states using Medicaid FFS to serve dual-eligible individuals can create a more integrated, financially sustainable program design.

Brianna Ensslin Janoski and Allison Rizer share their insights on California's Office of Medicare Innovation and Integration in Health Affairs.

Future Medicare Advantage policy must consider more deliberate opportunities to support person-centeredness, to recognize the outsized role that family caregivers play, and to integrate with Medicaid to promote equitable access and health outcomes.