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Report: CMS underpays Medicare Advantage plans for treating chronic conditions

from FierceHealthPayer

The Centers for Medicare & Medicaid Services underpaid Medicare Advantage health plans for the costs of treating individuals with multiple chronic conditions, according to a new analysis from Avalere Health. Avalere says CMS' risk adjustment model under-predicts costs for individuals with multiple chronic conditions by $2.6 billion on an annual basis, and that CMS last updated the model in 2014. more


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