June 09, 2017

Make Medicare Advantage more flexible to allow value-based care, Med School prof tells Congressional panel

A. Mark Fendrick, M.D., called for Congress to change the “one size fits all” system for co-pays and other cost sharing, to allow for what he called “clinical nuance”

A. Mark Fendrick testimony

More than 19 million Americans receive their health insurance through Medicare Advantage plans offered by private insurance companies – a program aimed at increasing choice and flexibility. 

But those plans don’t have enough flexibility to customize a key factor for the people they serve: how much they have to pay out of their own pockets when they see a doctor, fill a prescription or have a procedure.

And that gets in the way of truly getting the most value out of the federal Medicare dollars that pay for their care. 

That was the message that A. Mark Fendrick, M.D., brought to Congress on June 7, as he testified before the Health subcommittee of the U.S. House Ways and Means Committee.