The CMS Monday finalized a 1.66% pay bump for Medicare Advantage plans, lower than last year’s 2.53% pay raise. The agency is also finalizing several changes to how it pays Medicare Advantage and Part D plans, as well as Programs of All-Inclusive Care for the Elderly, or PACE. In February, the CMS proposed a 0.93% increase in payments for Medicare Advantage plans that met stiff industry opposition. The CMS will continue phasing in its risk-scoring methodology as proposed. The newer risk-scoring model will now play a bigger role in determining payments to Medicare Advantage plans, with 75% of the risk score stemming from the new model and 25% from the 2017 model, the CMS said in a fact sheet.
Read the full article: Medicare Advantage Plans Will Get a 1.66% Pay Bump for 2021 //
Source: https://www.modernhealthcare.com/payment/medicare-advantage-plans-will-get-166-pay-bump-2021