Fierce Healthcare March 14, 2023
By Robert King

A new estimate from Oak Street Health projects that resources for dual-eligible care could be diverted due to risk adjustment changes for Medicare Advantage. (Getty Images)

A new analysis finds a change to Medicare Advantage (MA) risk adjustment could make it harder for providers to coordinate care for dual-eligible Medicare-Medicaid beneficiaries and people of color.

Primary care center company Oak Street Health released an analysis recently that charges the proposed 2024 advance notice—which lays out pay rates and policies for MA—moves resources away from treating dual eligibles and other underserved beneficiaries. The proposed rule has already come under fire by insurers over a change to the pay rates.

“By and large, many of the changes [the Centers for Medicare...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Primary care, Provider, Survey / Study, Trends
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