SummaryThe Centers for Medicare & Medicaid Services (CMS) will release the Advance Notice and Call Letter describing CMS' proposed 2017 payment policies for Medicare Advantage (MA) plan sponsors on February 19. Based on previously released information in the fall of 2015, CMS is likely to propose modifications to the risk adjustment model and the current MA Star Ratings methodology.
Health plans have raised concerns on whether CMS is adequately accounting for the dual eligible population, as it relates to the proposed modifications. CMS’ risk model changes could have disparate impacts on the county benchmarks used to set plan payments.
With comments to CMS due March 5, hear Avalere and Inovalon experts discuss the:
- Potential impact of the changes as you develop and consider formal comments for CMS
- Bottom line payment impacts for plans
- Nature of the proposed policies
Other panelists include Matt Caminiti of Inovalon.
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