Fact Based List:
CMS finalizes 2016 Medicare Advantage payment rates: 10 things to know
Submitted by Anonymous on Thu, 04/23/2015 - 12:21
- Suggested health insurers offering Medicare Advantage plans would see their rates cut by approximately 0.95 percent in 2016
- Health insurers will see Medicare Advantage payment rates go up 3.25 percent on average after expected growth in plan risk scores
- The rate increase was based on a higher estimate of traditional Medicare spending and does not stem from a change in policy
- UnitedHealth — the top provider of Medicare Advantage plans last year — stands to get the biggest revenue boost from the increased rates
- CMS announced the star rating system used to assess the quality performance of plans will be updated in 2016 to "strengthen the accuracy of the evaluation system."
- Insurers will be required to take steps to ensure their physician and provider directories are up-to-date
- CMS will begin working with insurers offering MA plans to collect information on their adoption of value-based payment models
- Medicare Advantage enrollment has increased by 42 percent since the passage of the Patient Protection and Affordable Care Act in 2010
- The finalized policies will continue to strengthen the growing MA program, and continue the successful implementation of the ACA's reforms
- The changes will help align the MA program with the HHS goal of having 30 percent of Medicare payments based on how well patients are cared for in 2016
Source: CMS
Source URL: http://www.beckershospitalreview.com/finance/cms-finalizes-2...
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