AMGA Leaders Express Frustration with CMS’s Benchmark Rate Cut for MA Plans

Healthcare Innovation April 3, 2024
Mark Hagland

The leaders of AMGA expressed frustration with the cut in the finalized 2025 benchmark rate for Medicare Advantage plans

The leaders of physician groups most active in value-based contracting and especially in risk-based contracting with payers, are feeling a range of financial and operational pressures these days. Utilization of healthcare services is up, raising costs per member per month; at the same time, they are emphasizing that reimbursement is not always keeping up with the costs they face, whether the direct costs of providing care, or the indirect costs associated with various aspects of care management and care coordination.

One area of high focus for many physician group leaders is around their participation in the Medicare Advantage program. As of...

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