Lexology September 24, 2020
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...