Fierce Healthcare April 4, 2023
Some experts say that Congress and the administration will need to work together to continue to rein in Medicare Advantage overpayments. (Photo by rarrarorro/iStock/Getty Images Plus/Getty Images)
While provider and payer groups were happy that the Biden administration delayed implementation of changes to Medicare Advantage’s (MA’s) risk adjustment model, they hinted at a sustained campaign to get rid of them entirely.
Industry reaction to the final 2024 MA payment rule released late Friday details the next fight the Centers for Medicare & Medicaid Services (CMS) can expect in its efforts to rein in overpayments to MA plans. The agency decided to phase in the risk adjustment changes over three years starting in 2024.
“We appreciate that CMS moved to...
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