Becker's Healthcare June 21, 2023
CMS implemented several policy changes for Medicare Advantage plans in the first half of 2023, including adjusting payment rates and implementing stricter audits.
Research also uncovered new information about payments, quality and more in the program.
Here are 10 key updates about Medicare Advantage from the first six months of 2023 to know:
- Medicare Advantage plan enrollees have lower expenses than those with similar risk scores who remain in traditional Medicare, but payments to the program are based on traditional Medicare, according to a whitepaper from researchers at the University of Southern California in Los Angeles. Because Medicare Advantage enrollees tend to have lower expenses, but the government pays MA plans based on an average risk...
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