Joint Rate-Setting Process for the Capitated Financial Alignment Model

February 8, 2013
In February 2013, the Centers for Medicare and Medicaid Services (CMS) released an updated FAQ sheet describing the joint rate-setting process for Medicare-Medicaid capitated financial alignment model as part of the CMS dual eligible demonstration initiative. Through the joint rate-setting process, Medicare and Medicaid seek to coordinate in setting payment levels and both payers will prospectively share in the savings achievable through the demonstrations. Topics covered include payments to participating plans and payments to providers.
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