HHS Budget Proposes MA Risk Adjustment Reviews Before Payment

By Michelle M. Stein / March 9, 2023 at 8:20 PM
The president’s fiscal 2024 budget raises concerns with the impact of high Medicare Advantage pay on the Medicare trust fund and proposes targeted medical record reviews of plans’ risk adjustment before the agency pays, coming as stakeholders and both political parties debate what constitutes a cut to MA . The president’s budget also proposes to implement a medical loss ratio requirement on supplemental benefits in MA and require plans report providers’ identification to CMS as part of encounter data. The...

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