Policy & Medicine March 2, 2025
The Biden administration’s last Advance Notice on the Medicare Advantage program proposed a 4.3% hike on average to MA reimbursement, which would result in $21 billion in additional payments to insurers next year. The rule increases the average benchmark payment to MA plans by 2.2%, with insurers’ coding for member sicknesses making up the rest of the projected payment jump. The rule also completes the phase-in of changes to insurers’ coding practices that are unpopular with the industry. Still, the proposal could be tweaked by the Trump administration before it’s finalized in the spring.
More on Advanced Notice
CMS projects an average payment increase of 4.33% for MA plans from 2025 to 2026, translating to over $21 billion in...
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