Tag: MA
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...
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...
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...
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...
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...
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...
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...
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...
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...
On February 5, 2020, the Centers for Medicare and Medicaid Services (CMS) issued two documents affecting the Medicare Advantage (MA) program:
The Centers for Medicare and Medicaid Services (CMS) announced the 14 Medicare Advantage (MA) organizations participating in the MA Value-based Insurance Design (VBID) model for plan year 2020. Additionally, CMS released a Request for Applications (...
On January 6, 2019, the Centers for Medicare and Medicaid Services (CMS) released Part I of the 2021 Advance Notice limited to the risk adjustment methodology per the annual cycle of Medicare Advantage (MA) regulatory guidelines for the coming year....
The Medicare Payment Advisory Commission (MedPAC) met on December 5, 2019, to discuss 2021 payment updates for physicians, inpatient and outpatient hospital services and the annual update on the status of Medicare Advantage (MA) as they prepare their...
The Medicare Payment Advisory Commission (MedPAC) met in Washington, DC on November 6-7, 2019. The Commission continued a discussion on redesigning the Medicare Advantage (MA) quality bonus program (QBP).
The Medicare Payment Advisory Commission (MedPAC) met in Washington, DC on November 6-7, 2019. The Commission continued a discussion on redesigning the Medicare Advantage (MA) quality bonus program (QBP).
Redesigning the Medicare Advantage (MA) q...
The Centers for Medicare and Medicaid Services (CMS) released their annual update of Medicare Part C and D Star Ratings. These ratings measure the quality of health and drug services received by beneficiaries enrolled in Medicare Advantage (MA) and P...
The Center for Medicare and Medicaid Innovation (Innovation Center) posted CY 2020 marketing and communications guidelines for the Medicare Advantage (MA) Value-Based Insurance Design (VBID) model. This document provides communications and marketing ...
The Centers for Medicare and Medicaid Services (CMS) released additional materials, including study data, related to a previous proposed rule regarding Risk Adjustment Data Validation (RADV) audits. In November 2019, CMS proposed a rule that would ...
On June 14, 2019, the Medicare Payment Advisory Commission (MedPAC) released its June 2019 Report to the Congress: Medicare and the Health Care Delivery System. Each June, as part of its mandate from the Congress, MedPAC reports on issues affecting t...
The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on May 21, 2019, from 3 to 4 pm ET, to provide an overview of the All-Payer Combination Option. The All-Payer Combination Option allows clinicians to become a ...
The Centers for Medicare and Medicaid Services (CMS) finalized policies that will increase plan choices and benefits. This includes allowing Medicare Advantage (MA) plans to include additional telehealth benefits, improving MA and Part D Star Ratings...
The Medicare Payment Advisory Commission (MedPAC) met on April 4 to 5, 2019, in Washington, DC. MedPAC discussed a number of innovation and quality topics at this meeting.
MedPAC Discusses MA Quality Program, MA Benchmarks and MSSP Post-Acute Care Spending at November Public Meeting
Annual Star Ratings Update Finds 81% of Beneficiaries with MA-PD Coverage Enrolled in Four or Five Star Plans
CY 2020 MA VBID Marketing and Communications Guidelines Posted
CMS Releases Additional Data Related to Risk Adjustment Data Validation Proposed Rule
MedPAC Releases June 2019 Report to Congress: Considers a Number of Payment Innovations for Clinician Payment, Medicare Advantage and Part B Drugs
CMS Presents All-Payer Combination Option Overview Webinar
CMS Releases CY 2020 MA and Part D Flexibility Final Rule
Innovation and Quality Highlights from MedPAC April 2019 Meeting
The Medicare Payment Advisory Commission (MedPAC) is discussing a number of innovation and quality topics at their next public meeting scheduled for April 4 to 5, 2019. Topics include:
On April 1, 2019, the Centers for Medicare and Medicaid Services released the final Rate Notice and Call Letter, the annual regulatory payment process for the Medicare Advantage program. Overall and on average, rates will increase by 2.53 percent, an...
At their public meeting on March 7 and 8, the Medicare Payment Advisory Commission (MedPAC) considered a range of Medicare payment issues. Five takeaways from the meeting are as follows:...
The Center for Medicare and Medicaid Innovation is holding a webinar on February 28, 2019, at 3 pm ET. It will provide a deep dive into the application processes and information about model designs for the Part D Payment Modernization Model and the M...
The House and Senate sent letters to Centers for Medicare and Medicaid Services Administrator Seema Verma in support of the Medicare Advantage (MA) program. The letters highlight the nearly 40 percent of eligible beneficiaries who have enrolled in th...
On February 1, 2019, the Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) posted Request for Applications (RFA) and actuarial guidance documents for the recently announced Medicare Advan...
On January 25, 2019, the Innovation Center hosted a webinar on the 2020 application cycle of the Medicare Advantage Value-Based Insurance Design Model. This webinar will be repeated on Wednesday, January 30, 2019 from 1:00 p.m. to 2:00 p.m. EST. M...
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