Understanding Medicare Advantage Payment & Policy Recommendations

The rates paid to Medicare Advantage health plans are determined annually through a bidding system that is largely based on spending patterns in Traditional Fee-For-Service (FFS) Medicare. It is imperative that payments to Medicare Advantage health plans are accurate, adequate and stable to allow them to provide the necessary care to their enrollees, and to continue to innovate in new care models and service offerings.

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

Fact Sheet

Fact Sheet: Medicare Advantage Rate Setting Process December 5, 2022

This fact sheet explains how the Centers for Medicare & Medicaid Services (CMS) determines annual payment updates to rates for Medicare Advantage and Medicare Prescription Drug Plans (Plan D) in its Advance Notice and Rate…

Rate Notice

Payment