In late 2024, the Centers for Medicare and Medicaid Services previewed a significant revision to the risk-adjustment model that has long been considered by policy makers and researchers. This revision ...
Reintroducing Alzheimer disease and related dementias (ADRD) hierarchical condition categories (HCCs) into the Medicare Advantage (MA) risk-adjusted payment model was linked to improved care access ...
Alignment Healthcare executives weighed in on the final Medicare Advantage rate notice last week, with CEO John Kao saying he expects regulators to return to plans for a new risk adjustment model in ...
To attenuate the effects of diagnostic coding by Medicare Advantage (MA) plans—a practice that increases plan payments—beginning in 2024 the Centers for Medicare and Medicaid Services adjusted its ...
Sen. Chuck Grassley, R-Iowa, chairman of the Senate Committee on the Judiciary, has released a majority staff report that claims UnitedHealth is gaming the Medicare Advantage system and turning risk ...
The Centers for Medicare & Medicaid Services (CMS) published its “Advance Notice of Methodological Changes for Calendar Year (CY) 2027 for Medicare Advantage (MA) Capitation Rates and Part C and Part ...
On January 26, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) capitation rates and Medicare ...
CMS proposes a 0.09% payment increase for MA and Part D, raising concerns about cost implications for insurers and beneficiaries. The proposal aims to improve payment accuracy and risk adjustment, ...
Medicare Advantage insurers get a 0.09% payment increase for 2027 should the Advance Notice released on Monday be finalized. During an earnings call Tuesday morning, UnitedHealthcare CEO Tim Noel ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results