CMS Proposes 0.9% Cut To 2016 Medicare Advantage Rates

For the 2016 Medicare Advantage plan year, the federal Centers for Medicare & Medicaid Services (CMS) has proposed cutting base capitation rates by 0.9%. The cut will be partially offset by expected growth in plan risk scores due to coding, resulting in an overall payment increase of 1.05%. A new risk adjustment will be fully phased in. Plans that have shown quality improvement and demonstrated a focus on customer satisfaction sufficient to earn four or more stars on the five-star quality rating system would receive a five percentage point quality bonus added to each county rate in . . .