AHIP November 30, 2020
AHIP

Executive Summary

On September 14, 2020 and October 30, 2020, the Centers for Medicare & Medicaid Services (CMS) released the contract year (CY) 2022 Advance Notice Part I and Advance Notice Part II with the accompanying fact sheet (Notice), respectively. America’s Health Insurance Plans (AHIP) has retained Wakely Consulting Group LLC. (Wakely) to provide a financial impact summary report of the information presented in the Notice as well as changes to the risk adjustment models and the impact of COVID on CMS projections.

Key highlights of our analysis are:

  • The CY2022 fee-for-service (FFS) growth rate is in line with CMS projections released prior to COVID, indicating that CMS believes most of the impact of deferred care, forgone services, and...

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