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Along with rate increase for MA plans, CMS pitches closer look at social determinants of health

Along with rate increase for MA plans, CMS pitches closer look at social determinants of health

February 3, 2022Shannon MuchmoreHealthcare DiveSocial Determinants of Health (SDOH),Medicare ACOs/MSSP

CMS is proposing a nearly 8% revenue increase for Medicare Advantage plans next year, according to a proposed payment plan released Wednesday. The overall rate increase for 2023 includes a 4.75% effective growth rate and a 3.5% average increase in risk scores. The risk-adjusted benchmark trend, which analysts peg as the key number, comes out to 4.48% for 2023.

Cowen analysts said in a note Thursday the rate increase “should support another year of benefit enhancements & strong enrollment growth,” and noted that in recent years the final rate has been higher than what was first proposed.

Full Article

: Medicare Advantage, SDOH

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