Medicare
plan of action
Work to reverse the changes to Medicare in the One Big Beautiful Bill, then implement long-term changes to stabilize the program as part of 1787’s Operation Overhaul program.
We have to get a handle on the fraud, waste, and abuse within the Centers for Medicare and Medicaid Services (CMS). This will be handled through the Operation Overhaul program.
Reform and refine payment methods to encourage efficient service delivery.
Improve program management for efficiency and better service to beneficiaries.
Implement a risk-based plan for revalidating enrollment for Medicare providers after pauses during the COVID-19 pandemic.
Seek legislative authority to allow Recovery Auditors to conduct prepayment claim reviews, which are generally more cost effective than post-payment reviews in preventing improper payments.
Address the fact that Medicare pays more for certain services based on where they are provided. Take additional steps to equalize payments.
Comprehensively assess the quality of telehealth services, which is needed to ensure those services are medically necessary.