Fact Sheet: Coding Practices and Adjustments in Medicare Advantage

It is important that beneficiaries’ complete diagnostic information is accurately captured so health plans can effectively manage their population’s clinical care. Stable payments and risk adjustment calculations are needed to ensure that adequate resources are available to provide high-quality care and services to beneficiaries.

This fact sheet explains more.

Fact Sheet

Fact Sheet: Health Risk Assessments in Medicare Advantage May 16, 2024

HRAs are a part of Medicare Advantage’s care coordination model; allowing Medicare Advantage plans to collect information on beneficiaries’ health statuses and other related factors to address gaps in care and social risk factors. There…

Home Care

Patient Centered Care

Risk Adjustment

Report

Avalere Health Report: “Overview of the CY 2024 Advance Notice” February 9, 2023

A new report by Avalere examines the Centers for Medicare and Medicaid Services’ (CMS) Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage Capitation Rates and Part C and Part D…

Rate Notice

Risk Adjustment

Payment

Fact Sheet

Fact Sheet: Summary of CY 2024 Medicare Advantage and Part D Advance Notice February 9, 2023

In this fact sheet, Better Medicare Alliance provides a summary of the Centers for Medicare and Medicaid Services' (CMS) Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage Capitation Rates and…

Rate Notice

Risk Adjustment

Payment