(PRWEB) February 26, 2013
The 2014 rate notice and “call letter” the Centers for Medicare and Medicaid Services issued earlier this month contained negative surprises for Medicare Advantage and Part D plans. Learn what these proposed changes could mean for business strategies and planning in “CMS’s ‘45-Day Notice’ and Its Potentially Severe Impact on MA Payment Rates,” an upcoming March 7 webinar sponsored by Atlantic Information Services, Inc.
The combined effect of the changes proposed for Medicare Advantage (MA) and Part D plans in the “45-day notice” issued February 15 amounts to the biggest collection of bad news the industry ever has received at one time. First, plans and their advisers alike were surprised with what amounts to a several-percentage-point cut in their base payment rates for 2014. Then, CMS proposed changes in the ways plans have managed to offset some of the effects of rate cuts in the past. These potential changes include altering the risk-adjustment model in a way the agency itself says will lower risk scores and limiting how plans can use health risk assessments to boost risk scores.
The financial outlook is even bleaker when these new proposals are combined with the large coding intensity adjuster increase plans will have to absorb for 2014, plus a reduction in the amount by which plans can boost beneficiaries’ out-of-pocket costs for next year. There also are tremendous uncertainties that plans may face from another “rebasing” of counties to determine which payment quartile they’re assigned to, and from a change CMS is considering in how it calculates the costs on which county rates are based.
On March 7, in a 60-minute presentation followed by 30 minutes of responses to individual questions, William MacBain, senior vice president of finance at Gorman Health Group, LLC, and Tim Courtney, senior consulting actuary at Wakely Consulting Group, Inc., will offer reliable strategic information and answers to key questions such as:
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Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.