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Medicare should work with purchasers and payers in the public and private sectors to align their respective incentive programs.
Policymakers should employ selective use of incentives for evidence-based services in Medicare to encourage beneficiaries to seek high-quality, efficient, safe, and equitable care.
Medicare should not use incentives to discriminate based on a beneficiary’s health status, lifestyle, or behaviors.
The Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission should regularly monitor and evaluate beneficiaries’ access to quality care.
CMS should continue making public the Medicare Current Beneficiary Survey data on access, health care utilization, and other relevant information.
The federal government should fund and conduct additional research to inform decisions on Medicare coverage for the safest and most effective medical interventions.
Policymakers should improve the quality and quantity of independent research on comparative effectiveness and CEA.
The Centers for Medicare & Medicaid Services (CMS) and local Medicare contractors should continue to make coverage decisions based on standard procedures.