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Despite plans’ call for a pause,

HHS Budget Increases Reliance On MA Encounter Data

March 20, 2019
The HHS budget doubles down on CMS’ plan to increase the use of encounter data as part of a bid to “eliminate excessive payment in Medicare Advantage,” despite plans’ opposition to using risk score calculations to cut back MA payments. Congress’ Medicare advisers, in handouts at their recent March meeting, suggested CMS and plans improve the accuracy and completeness of encounter data, and commissioners recently discussed draft recommendations to cut pay for plans that don’t submit complete and accurate data...


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