Tag: MA

Final Rule Implements CURES Provisions Allowing ESRD Beneficiaries to Enroll in MA Plans

On Friday, the Centers for Medicare and Medicaid Services (CMS) released a final rule making policy and technical changes to the Medicare Advantage (MA) program. The rule expands policies to support telehealth services, provides some additional...

CMS Releases Final Ratebook and Actuarial Methodology for VBID Hospice Benefit

On Wednesday, April 15, 2020, the Centers for Medicare and Medicaid Services (CMS) released the final 2021 Hospice Capitation Ratebook and Actuarial Methodology. The Actuarial Methodology finalizes the 2021 capitation rate for the hospice benefit com...

CMMI Posts Additional Resources for VBID and the Part D Payment Modernization Model

The Center for Medicare and Medicaid Innovation (CMMI) has posted additional resources for two of the current payment models. On April 2, the Centers for Medicare and Medicaid Services (CMS) held a webinar providing an overview of both the Value-Base...

CMS Announces CY 2021 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies

On April 6, 2020, the Centers for Medicare and Medicaid Services released the annual capitation rates for calendar year 2021 for Medicare Advantage (MA) and Part D. The agency states these adjustments and new policies will continue to advance, modern...

MedPAC Releases Agenda for Closed-door April Meeting

The Medicare Payment Advisory Commission (MedPAC) posted the agenda for the next meeting scheduled for April 2. Due to the coronavirus outbreak, the Commission has announced that the April meeting will not be open to the public. MedPAC will post a tr...

CMS Schedules Office Hours for MA VBID Model

On Thursday, March 19, the Centers for Medicare and Medicaid Services will host office hours on the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model. During this office hour, presenters will provide a review of the payment design rel...

PTAC Update: Revised Proposal Open for Comment and Secretary’s Responses to Recommendations

Revised “Medical Neighborhood” Payment Model Open for Comment Through March 20 The Physician Model Technical Advisory Committee (PTAC) is soliciting comments through March 20, 2020, on a revised payment model: “The ‘Medical Neighborho...

MedPAC Agenda Available for the March 2020 Public Meeting

The Medicare Payment Advisory Commission (MedPAC) has posted the agenda for the next public meeting scheduled for March 5-6, 2020. The Commission will consider presentations and recommendations from MedPAC staff related to quality improvement, risk a...

CMS Posts Slides from Recent VBID Model Webinar

CMS Posts Slides from Recent VBID Model Webinar On January 30, the Medicare Advantage Value-Based Insurance Design (VBID) Model team hosted a webinar to provide information and answer questions about the hospice benefit compo...

CMS Releases MA Advance Notice, Policy and Technical Changes Proposed Rule

On February 5, 2020, the Centers for Medicare and Medicaid Services (CMS) issued two documents affecting the Medicare Advantage (MA) program: