It’s not who you know, it’s what you know!
Three “3-STAR” ratings in a row and an MAO’s plan can be terminated by CMS.
Its authority to do this was temporarily rescinded by the 21st Century Care Act but that change was not extended past its expiration at the end of this year.
The earliest a plan can be terminated will be 2023—look for the CMS’ termination authority to limited by Congress again before then.
Spoiler: They don’t like anything that costs them money.
An excellent primer
It’ll help the working elderly and those with money, but not most others
I wonder how much they were paid?
Risk-sharing under Medicare Advantage?
If it engenders the relationship between patient and prime—it’s good
If it doesn’t, it’s bad.
Good. Bad. It’s that simple