Medicare Advantage

Primer and Resources on Medicare Advantage Plans

The Medicare Advantage Program currently has 28 million participants, representing 46 percent of all Medicare beneficiaries. AAHomecare believes now is an appropriate time for CMS to closely examine the MA Program in its “Vision for Medicare” which aims to place “the person at the center of care and drive a future where people with Medicare receive more equitable, high-quality, and whole-person care that is affordable and sustainable.”  Over the last 20 years, home care technology has made tremendous strides, enabling an increasing number of patients to receive safe, efficacious, and cost-effective health care at home—the site they prefer to be. Our country’s experience with the ongoing COVID-19 public health emergency has demonstrated that Durable Medical Equipment, Prosthetics/Orthotics, & Supplies (DMEPOS) suppliers have been able to take care of many patients at home, thereby alleviating hospital overcrowding.

Below you will find some resources available to the HME community to assist with advocacy:

• Medicare Advantage and Medicaid Managed Care Plans:  An Overview by Brown & Fortunato
  • Rights of DME Supplier Under a Medicare Advantage Plan and a Medicaid Managed Care Plan
  • Medicare Advantage Plans and Medicaid Managed Care Plans Access to Care Requirements
  • Overview of Federal Statutes and Regulations Governing Medicare Advantage Plans and Medicaid Managed Care Plans
  • Medicare Advantage Plans and Medicaid Managed Care Plans Minimum Level of Service
• OIG Report on Problems in the Medicare Advantage Space: An Overview by Brown & Fortunato
• AAHomecare MAP RFI CMS-4203-NC comments 
• AAHomecare Talking Points