CMS proposes Medicare Advantage rate cut

CMS proposes Medicare Advantage rate cut
Becker's Payer Issues, by Rylee Wilson; 1/31/24
CMS proposed a slight decrease in Medicare Advantage benchmark payments for 2025. The agency issued its proposed 2025 rate notice Jan. 31, cutting benchmark payments by 0.2% on average. Risk model revision will amount to a 2.45% decline in revenue, according to a fact sheet issued by the agency. Plans should expect to see 3.7% higher revenue overall, with an MA risk score trend of 3.86% — the average increase in risk adjustment payments year over year — offsetting risk model revisions and a projected decline in star rating bonuses.