CMS releases Medicare Advantage, Part D rate announcement: 7 things to know

Becker's Healthcare April 5, 2022
Jakob Emerson

CMS released its final 2023 Medicare Advantage capitation and Part C and D rate announcement April 5.

Seven things to know:

Change in payments

The federal agency announced an effective growth rate of 4.88 percent and an 8.5 percent average revenue increase for Medicare Advantage and Part D plans.

Program of All-Inclusive Care for the Elderly risk adjustment

Payments to PACE organizations will continue to use the 2017 CMS-HCC model in 2023 to calculate non-end stage renal disease risk scores.

Medicare Advantage coding pattern adjustment

CMS is finalizing a coding pattern adjustment of 5.9 percent for 2023.

Medicare Advantage normalization factor

In 2023, CMS will calculate the normalization factor by projecting the payment year risk score using a trend that...

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