And with a growth rate of 4% the announcement is good news for actuaries, but behind the scenes plans will still grapple with CMS' new risk scoring formula that now leans heavily on encounter data.
YOY expected impact of the updated methodologies on plan payments relative to last year.
The federal agency is also continuing to...CMS Rules
CMS wants to increase the amount of encounter data the agency uses to calculate Medicare Advantage (MA) risk scores from 50% to 75%; final 2021 MA payment rates are expected on or before April 6.
Even as the industry continues to express concern over the reliability of encounter data, The HCC Risk Adjustment Model is now driven by...