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Insurers insist RADV rule, MA payment changes would result in cuts

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 ....

Mark Hamelburg , Biden Harris Administration , Department Of Health , Medicare Advance Notice , Risk Adjustment Data Validation , Medicare Advantage , Congressional Budget Officeestimates , Medicare Advantage Organizations , Partd Prescription Drug Programs , Advance Notice , Hierarchical Condition Categories , Human Servicesdisputes ,