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Medicare Advantage rates to climb by 1.25 percent for 2016, CMS says, reversing proposed cuts

from Healthcare Finance

The Centers for Medicare and Medicaid Services said its 2016 reimbursement policy will lead to an average increase of 1.25 percent for Medicare Advantage plans, a reversal from the 0.95 percent decline initially proposed in February. Accounting for beneficiary risk scores, the 0.95 percent proposed decline was estimated to come with an average increase of 1.05 percent. The final regulation's 1.25 percent average increase will be a 3.25 percent post-adjustment boost, although the actual reimbursement will vary greatly across plans and regions depending on star ratings, performance and membership. more


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