CONGRESSWOMAN ELISE STEFANIK
On Wednesday, June 17, 2015, the House will consider H.R. 2582, the Seniors’ Health Care Plan Protection Act of 2015, as amended, under suspension of the rules. H.R. 2582 was introduced on May 29, 2015, by Rep. Vern Buchanan (R-FL) and was referred to the Committee on Ways and Means, and in addition, to the Committee on Energy and Commerce.
H.R. 2582 includes several provisions designed to ensure the integrity and viability of the Medicare Advantage (MA) program. Specifically, the bill:
The Centers for Medicare and Medicaid Services (CMS) uses a five-star rating system to assess the quality and performance of Medicare Advantage (MA) plans. MA plans may be evaluated on up to 48 performance measures. “A 5-star rating is excellent; a 4-star rating is above average; a 3-star rating is average; a 2-star rating is below average; and a 1-star rating is poor.”
There are concerns that an MA plan’s performance under this five-star rating system may be impacted by factors other than the actions of the plans and providers themselves; for example, by socioeconomic factors beyond their control, such as poverty. Failing to account for these factors may lead some plans to score more poorly on performance measures simply because of the composition of those enrolled in their plans, not on an actual inadequacy in their performance.
 See CRS Report—“Centers for Medicare and Medicaid Services: President’s FY2015 Budget,” May 15, 2014 at 22.
For questions or further information please contact Jerry White with the House Republican Policy Committee by email or at 5-0190.