The Centers for Medicare & Medicaid Services (CMS) released the Advance Notice and Call Letter describing CMS' proposed 2017 payment policies for Medicare Advantage (MA) plan sponsors on February 19th. Based on previously released information in the fall of 2015, CMS proposed modifications to the risk adjustment model and the current MA Star Ratings methodology.
Health plans have raised concerns on whether CMS is adequately accounting for the dual eligible population, as it relates to the proposed modifications. CMS' risk model changes could have disparate impacts on the county benchmarks used to set plan payments.
Hear our webinar recording as our experts discuss the following topics:
- The nature of the proposed policies
- The potential impact of the changes as you develop and consider formal comments for CMS
- The bottom line payment impacts for plans
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