Fierce Healthcare February 13, 2023
Medicare Advantage plans signal fight with the Centers for Medicare & Medicaid Services over payment policy changes proposed for 2024. (Getty Images/designer491)
Health insurers and the Biden administration are at loggerheads over whether Medicare Advantage (MA) plans will see a pay cut next year, the ramifications of which come amid increased regulatory scrutiny for the popular program.
Insurer groups and some politicians charge that the latest 2024 payment rule will wind up being a 2.27% cut to MA plans after considering risk adjustment changes and other factors. The Centers for Medicare & Medicaid Services (CMS) has pushed back, arguing that isn’t true.
The debate comes amid increasing scrutiny of MA and after CMS has proposed an overhaul...