Modern Healthcare February 1, 2018
The CMS Thursday proposed to bump up baseline Medicare Advantage payment rates for 2019 by 1.84% on average, up from the 0.45% plans received last year.
The average Medicare Advantage payment rate will increase by 3.1% after taking into account the way health plans code their members’ diagnoses, the CMS said. That’s up from a 2.95% increase last year.
The CMS will also move ahead with plans to increase the use of encounter data, or information about the care an enrollee received from a provider, to determine risk scores for plans.
In the proposed notice, the agency suggested that 75% of Medicare Advantage risk scores are based on traditional fee-for-service data, and 25% are based on encounter data.
That differs...
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