STAT February 5, 2024
Taking stock of the 2025 MA proposals
If there’s one thing to take away from CMS’ newest proposals for Medicare Advantage plans, it’s that the Biden administration didn’t really want to rock the boat in an election year.
CMS expects the average benchmark payment for MA plans to decrease by 0.2% in 2025, the agency said Wednesday. But that doesn’t mean MA plans will be paid less next year (keep this in mind if insurers and Republicans falsely claim, again, that this is a “cut” to Medicare benefits). After accounting for the industry’s intensive coding practices, which are lumped on top of that benchmark payment and vary from insurer to insurer, Medicare still expects to pay MA plans an extra...
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