Health Affairs March 20, 2024
On January 31, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2025 Advance Notice for Methodological Changes for Medicare Advantage Capitation Rates and Payment Policies (the Advance Notice). The agency accepted comments on the Advance Notice through March 1, 2024, and will publish the final rate announcement by April 3, 2024. This annual regulatory process presents a key vantage on CMS’s priorities for improving the Medicare Advantage (MA) program. It also generates a great deal of attention from MA plans due to its implications for their future payment rates.
Bottom line: There are no drastic changes proposed for the MA program in this year’s Advance Notice. This was widely anticipated, as the Biden administration...
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