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…
Payment
Plans must cover the same benefits as Traditional Fee-For-Service (FFS) Medicare, and these payments are risk adjusted to reflect the specific characteristics and anticipated cost of providing care to each beneficiary. Within this capitated payment, plans, providers, and community-based partners must work together to effectively care for the beneficiary. The goal of managing within a fixed payment is to encourage coordinated care that emphasizes prevention, customized care, and innovation to improve outcomes and prevent avoidable adverse events.
FEATURED NEWS
Fact Sheet
Fact Sheet: Summary of CY 2024 Medicare Advantage and Part D Advance Notice
February 9, 2023 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…
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…