The Centers for Medicare and Medicaid Services anticipates a payment increase for Medicare Advantage plans of 3.32% from 2023 to 2024, which is approximately a $13.8 billion increase in MA payments for next year, according to the 2024 Medicare Advantage and Part D Rate Announcement finalized payment policies released late Friday afternoon. This compares to the 1.03% increase
Insurers have been pushing back against a Medicare Advance Notice on payment rates and a Risk Adjustment Data Validation (RADV) final rule they say will affect consumers and taxpayers. With an eye toward improving program integrity, the Risk Adjustment Data Validation (RADV) rule modifies how CMS calculates what a plan has to pay back to the federal government when risk
Medicare Advantage had fewer avoidable hospitalizations for ambulatory care−sensitive conditions (ACSCs) when compared to traditional Medicare, but were more likely to have observation stays and emergency department direct discharges for the same conditions, according to findings published in the Journal of the American Medical Association. These findings raise the possibility
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Medicare Advantage continues to grow, hitting record enrollment this year and increasing overall program participation by 5.5% while adding 1.5 million beneficiaries. But according to data from Chartis, the pace of this growth is slowing. In 2020, 2021 and 2022, Medicare Advantage enrollment grew by 1.9 million, 2.2 million and 2.3 million beneficiaries, respectively. This