CMS Proposes Surprise Employer Group Waiver Plan Pay Cut In MA Pay Rule

The proposed pay rule for Medicare Advantage and drug plans includes a surprise policy to cut pay to Employer Group Waiver Plans, but it leaves out home health assessment policies that industry lobbyists feared might get included. CMS proposed Friday (Feb. 19) to increase Medicare Advantage pay by 1.35 percent, accounting for dually eligible beneficiaries in both plan star ratings and plan payments, and relying more on encounter data to set pay rates. Avalere Vice President Tom Kornfield, who until...