MedCity News September 20, 2020
The impact of delayed care among MA members goes beyond lower-than-forecasted risk scores and decreased plan payments.
Delays in care due to Covid-19 will likely lead to reduced risk scores for Medicare Advantage (MA) patients, lowering plan payments in 2021. For now, the big questions facing MA plans are, “How much revenue could we lose—and can we close the gap by year-end?”
An analysis by PopHealthCare shows that health plans could see double-digit decreases in the disease portion of risk scores due to deferred care during Covid-19. Unless plans can encourage members to seek preventive care by the end of the year, the impact on 2021 payment could be substantial.
The clock is ticking. While the Centers for Medicare &...
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