Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, according to a report by the Medicare Payment Advisory Commission (MedPAC). MedPAC, which provides Congress with policy and analysis, found this year’s projected comparison of Medicare Advantage to Medicare fee-for-service spending is lower than last year’s projection. Coding and selection push MA benchmarks, bids and payments higher relative to what spending would have been in FFS, according to the report. However, the V28 risk adjustment model introduced by the Centers for Medicare & Medicaid Services in 2024 has been successful in decreasing MA payments relative to fee-for-service spending.
Read the full article: Medicare Advantage Payments Exceed That of Original Medicare //
Source: https://www.healthcarefinancenews.com/news/medicare-advantage-payments-exceed-original-medicare