Healthcare DIVE February 2, 2023
Medicare Advantage plan rates will increase by 2.09% next year, largely in line with analyst expectations but likely lower than payers had hoped.
The 2024 Medicare Advantage and Part D Advance Notice released Wednesday also includes some technical changes to the risk adjustment model, such as using ICD-10 codes instead of ICD-9, making it more up to date and more predictable, said CMS Deputy Administrator and Director of the Center for Medicare Meena Seshamani in a Wednesday call with reporters.
The rule comes on the heels of regulation opposed by payers that would begin retroactive plan audits in an attempt to claw back overpayments. Payer lobby AHIP said that proposal, the Risk Adjustment Data Validation, or RADV rule, was “fatally...
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