MACPAC held a meeting December, 14-15, 2023 (link). The following relevant topics were discussed:
Data Update on Unwinding the Continuous Coverage Provisions
Potential Areas for Comment on CMS Proposed Rule on Medicare Advantage for CY2025
Medicare-Medicaid Plan (MMP) Transition Monitoring: Interviews on Stakeholder Engagement
Panel on the Medicare-Medicaid Plan Transitions and the Future of Integrated Care for Dually Eligible Individuals
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Key takeaways from the December meeting include:
Data Update on Unwinding the Continuous Coverage Provisions
State unwinding outcomes vary widely. Overall enrollment has decreased by approximately 2.3 million individuals, including about 1.1 million children.
However, some states have reported increases in enrollment.
Commissioners discussed the use of disenrollment data, best methods to contact beneficiaries, and what other data sources they might use to inform future work.
Potential Areas for Comment on CMS Proposed Rule on Medicare Advantage for CY2025
Commissioners agreed with provisions in the proposed rule related to dual eligibles and discussed several areas for comment.
Medicare-Medicaid Plan (MMP) Transition Monitoring: Interviews on Stakeholder Engagement
States have been engaging with MACPAC Staff on their Medicare-Medicaid plan transition monitoring. Commissioners discussed the importance of stakeholder engagement and continuous communication with states.
Panel on the Medicare-Medicaid Plan Transitions and the Future of Integrated Care for Dually Eligible Individuals
Panelists shared challenges in transitioning from MMPs to D-SNPs, such as the lack of subject matter expertise in D-SNPs, as well as the opportunities that have come from this transition, including the incorporation of MMP best practices into D-SNP regulation. Key areas of interest for Commissioners included the authority of the Medicare-Medicaid Coordination Office, the human capital infrastructure in place across states, and the intersection between Medicare and Medicaid.
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