Becker's Healthcare October 19, 2023
CMS announced plans in March to implement Medicare Advantage risk adjustment changes phased in over the next three years, and Optum is adjusting.
CMS maintained the changes will slightly raise payments, and the average payment will increase 3.32% from 2023 to 2024. Some provider and payer groups opposed the changes, concerned they would lead to a funding cut for the program.
CMS also reported overall average star ratings dropped slightly for Medicare Advantage plans for 2024 after making changes in its methodology. The star ratings decline will result in CMS bonus pay cuts for some plans.
While these changes won’t go into effect until next year, Optum Health, which is owned by UnitedHealth Group, is already making adjustments. Optum has...
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