Response to RFI for 2017 MAO Transformation Ideas
Thomas E. Price, M.D.
Secretary of Health and Human Services
Hubert H. Humphrey Building
200 Independence Avenue, S.W.
Washington, D.C. 20201
April 24, 2017
Dear Secretary Price and CMS Administrator Verma:
The American College of Physician Advisors (ACPA) appreciates the opportunity to respond to your RFI soliciting ideas to better achieve transparency, flexibility, program simplification, and innovation in the administration of Medicare Part C. The majority of ACPA members are physicians who are professionals with specialization in quality, utilization review, and utilization management for hospital-based providers. Our members interact with Medicare Advantage Organizations (MAOs) on a daily basis, thus gaining detailed 360-degree knowledge and experience from the point of care. We hope that the ACPA recommendations offered here will be useful to help achieve greater standardization, transparency, and effectiveness in the Part C program for the benefit of all stakeholders.
Medicare Part C offers several potential advantages to Medicare beneficiaries and to the Centers for Medicare and Medicaid Services (CMS.) MAOs are already required to provide all of the benefits of traditional Medicare.
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