From care coordination to value-based payment models to scrutiny of risk adjustment practices, there's a lot going on in the Medicare world—even if it's taken a back seat in the news cycle to attempts to repeal the Affordable Care Act.
No one knows this better than the in-house experts from the health insurance industry’s largest trade group, America’s Health Insurance Plans. So FierceHealthcare sat down with Tom Kornfield, AHIP's vice president of public programs policy and federal programs, at the trade group's annual Institute & Expo in Austin, Texas, to pick his brain about the biggest issues and trends surrounding the Medicare and Medicare Advantage programs.
Below, check out our interview with him, and for more expert analysis, watch our interview with fellow AHIP expert Adam Beck about the employer-sponsored insurance market.
Editor's note: This interview was conducted before the Medicare trustees released their annual report that includes projections about the program's financial future. In that report, the trustees project there will be no Independent Payment Advisory Board trigger until 2021, despite some predictions it could occur sooner.