Lexology September 24, 2020
Sheppard Mullin Richter & Hampton LLP

On September 14, 2020, the Centers for Medicare & Medicaid Services (“CMS”) issued the Advance Notice of Methodological Changes for Calendar Year (CY) 2022 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies – Part I, CMS-HCC Risk Adjustment Model (the “Advance Notice”). CMS is issuing the Advance Notice in two parts: Part I includes key information about the Medicare Advantage CMS-Hierarchical Condition Categories (“HCC”) risk adjustment model and the use of encounter data for CY2022. Part II, which will include other changes to the CY2022 payment methodologies, will be issued later this Fall. CMS will announce the CY2022 MA capitation rates and final payment policies no later than Monday, April 5, 2021.

CMS proposes...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer, Provider
Medicare Advantage prior authorization: How insurers stack up
Trade groups urge pause on sweeping Medicare Advantage rules
Medicare Advantage in the headlines: 7 recent updates - 7
Where prior authorization stands in 2025
What can hospitals do about Medicare Advantage tensions?

Share This Article