BC Advantage - 2023 Issue 11

Capturing HCCs in a Changing World

On March 31, 2023, the Centers for Medicare and Medicaid Services (CMS) released the CY 2024 Medicare Advantage (MA) Capitation Rates along with Part C and Part D payment policies.  The largest key decision in the release was the finalized proposal to revise the Medicare Advantage Risk Adjustment model.  The finalized memorandum noted that CMS would be phasing the new model (version 24 to version 28) beginning in 2024 and fully phasing at the beginning of 2026.Unfortunately, lost in translation was the fact that the phase-in actually began with the CY 2023 release of the ICD-10-CM...

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