HealthLeaders Media March 9, 2023
Both sides have raised concerns to CMS over the ramifications of the Medicare Advantage (MA) advance notice rule.
KEY TAKEAWAYS
In comments submitted to CMS about the Medicare Advantage (MA) advance notice rule, insurers are frustrated with potential pay cuts while providers are wary of the quick switch in diagnosis codes.
Payers and providers both feel the proposed changes could have detrimental impact on beneficiaries and patients.
Payers have unsurprisingly voiced their displeasure with the proposed risk adjustment changes to MA, but providers are also taking issue with the rule’s quick coding transition.
The Medical Group Management Association (MGMA) and the American medical Group Association (AMGA) were among the voices from the provider side expressing...
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