Seshamani says CMS constantly reviews MA risk adjustment . . .

Cavanaugh Worries ‘Non-Productive’ Companies Use MA Diagnoses For Profit

By Michelle M. Stein / May 23, 2022 at 2:28 PM
Former Medicare chief Sean Cavanaugh alleged Wednesday (May 18) there are non-productive Medicare Advantage plans that simply gather beneficiary diagnoses to increase plans’ pay. CMS Medicare Director Meena Seshamani said the agency constantly reviews how to get the best value for Medicare dollars, but didn’t fully explain why CMS stuck with the minimum statutory MA coding adjustment when setting plans’ 2023 pay. At a Center for Medicare Advocacy summit Wednesday, CMA Associate Director David Lipschutz asked Seshamani why the 2023...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.