ADVI Analysis: MACPAC December 2023 Meeting

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 

ADVI Angle

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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Allison Schneider, MHA
Director