AHIP September 28, 2021
WASHINGTON, D.C. – More than 27 million Americans choose Medicare Advantage (MA) because it delivers better services, better access to care, and better value. But as part of their continuing budget negotiations, it has been reported that Congress may be considering changes to MA payment formulas that could either raise premiums and/or and significantly reduce benefits for seniors and people with disabilities who depend on MA for their health care needs. Specifically, a new study from Avalere finds that an increase to the coding intensity factor could increase premiums by $9 to $25 per month, or 43% to 115%, or lower benefits by $30 to $44 per month, or 22% to 33%.
To better understand how changes to coding intensity...
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