Medicare Advantage organizations may see capitation rates rise as much as 2.8% for 2022, according to a CMS proposal released Friday. SVB Leerink analysts said Monday the hike was positive and a “strong starting point” for the year. They noted it was higher than the 1.7% increase last year. CMS is also proposing to rely entirely on encounter data to calculate patient risk scores in 2022 instead of using a blend of encounter data and diagnoses submitted to the Risk Adjustment Processing System. The move has been opposed by commercial insurers.
Read the full article: CMS Set to Bump MA Rates for 2022 in Win for Payers //
Source: https://www.healthcaredive.com/news/cms-set-to-bump-ma-rates-for-2022-in-win-for-payers/588205