genai / news / / Benzinga
Centers for Medicare & Medicaid Services (CMS) released 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies on Monday.
CMS finalized a 2.48% payment increase for 2027 Medicare Advantage, exceeding initial expectations.
KEY POINTS
- The 2024 MA risk adjustment model will be retained for 2027, delaying further model changes.
- Diagnoses from audio-only encounters and unlinked CRRs will be excluded from 2027 risk score calculations.
- The final rate reduction from risk model revisions was -1.12%, less severe than the initial -3.35% proposal.
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