Medicare
plan of action
Establish a long-term global budget for total health care spending.
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.