Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
CMS proposes nearly flat Medicare Advantage payments for 2027, with a 0.09% increase and updated risk adjustment policies.
CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...
The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.
The proposed 2027 Medicare Advantage payment update suggests a minimal 0.09% increase, affecting insurer stock prices and financial outlooks. Proposed Medicare Advantage payment updates spark concern ...
The Centers for Medicare & Medicaid Services (CMS) has proposed policies that are projected to result in a net average year-over-year payment increase of 0.09%, or more than $700 million ...
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for calendar year 2027, which the agency ...
Big companies lost $96 billion in market capitalization after Medicare proposed a relatively flat rate increase for next year ...
Medicare pays for services furnished in a physician’s office based on the Medicare Physician Fee Schedule (MPFS), while Medicare pays for similar services furnished in hospital outpatient departments ...
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