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Risk Adjustment: It's Time For Reform

Risk Adjustment: It's Time For Reform
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AHIP expresses concerns on CMS' Final Rate Notice for Medicare Advantage, Part D

The Centers for Medicare and Medicaid Services yesterday released 2023 Medicare Advantage capitation rates and Parts C and D payment policies, and it has drawn reaction from insurer group AHIP, which praised the administration for promoting innovation and flexibility but expressed concerns over potentially "unworkable" policies. AHIP President and CEO Matt Eyles by statement ....

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Medicare Advantage plans to get 8.5% revenue boost in 2023

Medicare Advantage plan payments are expected to get an 8.5% revenue increase for 2023. This is an increase over the 7.98% proposed in the February advance notice. The 2023 growth rate is set at 4.88% in the rate announcement released today by the Centers for Medicare and Medicaid Services. This is compared to the proposed 4.75% in the 2023 Advance Notice. CMS said it set the ....

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