Payers have unsurprisingly voiced their displeasure with the proposed risk adjustment changes to MA, but providers are also taking issue with the rule’s quick coding transition. The Medical Group Management Association (MGMA) and the American medical Group Association (AMGA) were among the voices from the provider side expressing concern for the MA advance notice rule in comments submitted to CMS. The rule, which changes MA payment methodologies by updating the risk adjustment model for 2024, expectedly drew the ire of insurers over potential payment cuts.
Read the full article: Providers, Not Just Payers, Push Back against Medicare Advantage Pay Rule //
Source: https://www.healthleadersmedia.com/payer/providers-not-just-payers-push-back-against-medicare-advantage-pay-rule