Medicare beneficiaries should be allowed to enroll in a network that would “incentivize higher quality” and more cost-effective and coordinated care, according to a new report whose authors include three former Senators.

Former Sens. Tom Daschle (D-SD), Bill Frist (R-TN) and Pete Dominici (R-NM) on the BIpartisan Policy Center’s Health Care Cost Containment Initiative proposed that beneficiaries should be able to choose from three options: stay in fee-for-service; enroll in a Medicare Advantage plan; or enroll in a new “Medicare Network” within traditional Medicare. These networks would essentially be improved accountable care organizations, the authors said.

To encourage physicians, hospitals and other healthcare providers to participate, we would provide financial rewards for joining these Medicare Networks and disincentives for staying in the less efficient fee-for-service system,” the executive summary of the report reads in part.

The authors also recommended establishing lower income thresholds in 2016 so that around 17% of beneficiaries would pay income-related premiums. Other proposals include strengthening Medicaid program integrity; adjusting Medicare Part D LIS cost-sharing to “encourage the use of high-value drugs”; and for the National Quality Forum to form a group to “create consensus metrics for commercial ACOs and other integrated delivery system.”