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Medicare Advantage 2024 Rate Announcement Risk Adjustment Changes

Centers for Medicare & Medicaid Services CMS released the Calendar Year 2024 Medicare Advantage MA Capitation Rates and Part C and Part D Payment Policies. Rate Announcement follows CMS’s February 1 notice of planned changes to rates and the risk adjustment methodology.

HHS releases benefit and payment proposed rule for Affordable Care Act coverage

As open enrollment for January 1 coverage comes to an end on Thursday, the Department of Health and Human Services has released the 2024 Notice of Benefit and Payment Parameters Proposed Rule for the Affordable Care Act. To expand access to behavioral healthcare, the proposed rule includes two new essential community provider (ECP) categories in behavioral healthcare:

Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. Witnesses sharply criticized the fast-growing health plans at a hearing held by the Energy and Commerce subcommittee on oversight and investigations.

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