On Tuesday, April 11, 2023, Á¿×Ó×ÊÔ´Íø hosted a Future Frame Conversation covering some of the changes outlined in the recent 2024 Medicare Advantage (MA) Rate Announcement. This cycle signals a new era for MA funding and risk adjustment. The Final Rate Announcement, in particular the new risk adjustment model to be phased in over three years, will spark stakeholders to reevaluate benefit design through the bid cycle and risk adjustment strategies in the future. These refinements will impact both health plan and provider reimbursement.
During the discussion:
- Amy Bassano from Á¿×Ó×ÊÔ´Íø talked about the CMS strategy for these changes; and
- Tim Murray from Wakely Consulting, an Á¿×Ó×ÊÔ´Íø company, discussed how payers should be using data and analytics to evaluate and forecast the impact of CMS changes.