Medicare Advantage and Quality Measurement—A System at Risk

Key Points

• The central aim is to assess the current state of Medicare's quality measurement system and propose necessary reforms.
• Examination of three dimensions of quality measurement: clinical care assessment, provider network performance, and incentivization.
• Analysis of existing frameworks and accountability measures in Medicare Advantage.
• Recommendations for reforms to enhance quality and accountability.
• Identifies three critical areas where Medicare's quality measurement is lacking.
• Outlines specific reforms that could improve accountability in the system.
• Highlights the risks associated with inadequate quality measures in Medicare Advantage.