Rate Notice Crash Course

Medicare Advantage payment and policy changes are typically made through the Annual Rate Notice and Call Letter, issued by the Centers for Medicare & Medicaid Services (CMS). For Contract Year 2021, CMS will be releasing the Advance Notice of Methodological Changes and Draft Call Letter in two parts and will finalize these proposed changes in April as part of the Final Rate Notice and Call Letter. As of January 6th, Part I of the 2021 Advance Notice of Methodological Changes has been released and comments are due by March 6, 2020. Part II of the Advance Notice is expected to be released at the beginning of February with a 30-day comment period. Through this annual rate setting process, CMS may change any or every element of Medicare Advantage payment rates, including changes to the risk adjustment model, Star Ratings system, and other factors that significantly influence payment rates. Below, BMA has provided resources to catch up on key policies of Medicare Advantage and to better understand the any proposed changes.

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BMA Applauds CMS Prior Authorization Proposed Rule December 6, 2022

Washington, D.C.  – Better Medicare Alliance, the nation’s leading research and advocacy organization supporting Medicare Advantage, responded today to the Centers for Medicare & Medicaid Services’ (CMS) proposed rule on prior authorization and interoperability. “Better…

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BMA FACT CHECK: Responding to Kaiser Health News Story on “Overcharges” in Medicare Advantage November 21, 2022

CLAIM: A Kaiser Health News story published today claims that "federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage." FACTS: The data used in Kaiser Health News' story is, in some cases, more…

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Analysis: In-Home Support Benefits, Caregiver Support on the Rise in Medicare Advantage November 17, 2022

Washington, D.C.  – As Medicare’s annual open enrollment period continues, a new brief commissioned by Better Medicare Alliance (BMA) and prepared by the actuarial consulting firm Milliman demonstrates that supplemental benefits in Medicare Advantage continue…