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Fact Based List:
Becker's: CMS proposes risk adjustment updates to Medicare Advantage: 5 things to know
Submitted By gmccalister, Created 01/10/2020 - 09:29
- Part 1 of the 2021 Advance Notice proposes changes to the Part C risk adjustment model and the use of encounter data.
- CMS proposes to calculate risk scores for 2021 by using 75% of the risk score calculated w/ the 2020 CMS-Hierarchical Condition Categories model & 25% of the risk score calculated w/ the 2017 version.
- CMS also proposed changes to how it uses encounter data, or diagnostic information, in the risk adjustment calculation process.
- CMS is taking comments on the changes through March 6, 2020.
- Payment policies for 2021 will be finalized in an annual rate announcement scheduled for April 6.
Source: Becker's Hospital Review
Source URL: https://www.beckershospitalreview.com/payer-issues/cms-propo...