ADVI Analysis: MedPAC Meeting September 2023

Pharmaceuticals and Biotech Federal And State Policy Pharmaceuticals and Biotech

October 6, 2023

The Medicare Payment Advisory Commission (MedPAC) held its latest meeting on September 7-8,, 2023 (link). The following relevant topics were discussed: Medicare Advantage: MedPAC workplan, Standardized benefits in Medicare Advantage Plans, and Improving MedPAC's estimate of Medicare Advantage Coding Intensity . Read the ADVI Angle on key takeaways.

MedPAC held a meeting September 7-8, 2023 (link). The following relevant topics were discussed:

  • Medicare Advantage: MedPAC workplan
  • Standardized benefits in Medicare Advantage plans
  • Improving MedPAC’s estimate of Medicare Advantage coding intensity

ADVI Angle

The following are key takeaways from the September meeting:

  • Medicare Advantage: MedPAC workplan
    • Commissioners discussed the forthcoming analyses MedPAC will conduct and the chapters they will publish regarding Medicare Advantage (MA) plans, including an MA status report, standardizing MA benefits, and access/quality in MA
  • Standardized benefits in Medicare Advantage plans
    • Commissioners generally supported:
      • (1) standardizing Part A and B cost sharing and a minimum level of dental, hearing, and vision benefits
      • (2) limiting the number of plans that can be offered by each sponsor, and
      • (3) applying standardization to conventional MA plans only
  • Improving MedPAC’s estimate of Medicare Advantage Coding Intensity
    • MedPAC staff presented several methodologies for estimating MA coding intensity, including the “Demographic estimate of coding intensity” (DECI) method, described in a 2021 non-MedPAC publication. Commissioners expressed concern about using one external methodology to estimate MA coding intensity and made broader suggestions related to coding

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