Advisory Board March 14, 2023
CMS last month proposed an average 1.03% revenue increase for Medicare Advantage (MA) plans in 2024, but both healthcare providers and insurers are pushing back against the proposal.
Why providers and insurers are pushing back against CMS’ proposal
On February 1, CMS released the advance notice, proposing changes to MA payment methodologies by updating the risk adjustment model for 2024. The agency accepted comments on the proposal through March 3 and will publish the final rate announcement by April 3.
Insurers argue that changes to the MA risk model will result in a net cut next year. In a comment letter submitted to CMS, America’s Health Insurance Plans (AHIP) highlighted the results of a study they commissioned from the Wakely...
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