Oliver Wyman December 15, 2023
A strategy for impactful provider education
On February 1, 2023, the Centers for Medicare and Medicaid Services (CMS) released the 2024 Advance Notice detailing plans to transition to a new risk adjustment model in payment year 2024. This model brings significant changes to Medicare reimbursements for coverage in the private sector. With the additional release of average 2021 risk scores to health plans, it became clear that a wide range of impacts were possible across plans, with most unfavorable and some experiencing headwinds of over 20%. A consensus developed that a nationwide average impact of full model transition was probably in the range of -1.5% to -2.5%, with dual plans experiencing an unfavorable impact two to three times worse. This...
Today's Sponsors
Today's Sponsor