MedPAC Tests Out Modified MA Risk Adjustment To Improve Accuracy

Congress’ Medicare pay advisors say risk adjustment changes designed for private insurance could improve Medicare Advantage -- but the Medicare Payment Advisory Commission is split on how to handle the less predictable costs for a small number of beneficiaries under that risk adjustment model. MedPAC has long discussed ways to improve risk adjustment for MA plans. In June 2020, MedPAC analyzed risk adjustment changes mandated by the 21st Century Cures Act and determined they improved the system, but only to...