CMS Projects Healthy Revenue Impact for MA Plans in 2022

CMS released the 2022 Medicare Advantage Advance (MA) Notice on October 30, 2020. The proposed rate updates are estimated to increase MA plan payments by +6.41%, assuming the same level of revenue increase from risk adjustment coding that CMS estimated last year. Click to read more.

Managed Care Friday

$50: The cost of a new 12-week Embrace Wellness program offered by Carroll Hospital in Maryland for people going through cancer treatment. Participants have access to self-care activities, nutrition education, wellness classes, and weekly exercise classes. The program runs through November 24, 2020 and costs $50 per person. Coordinator Bridgette Bostic says the program has been successful despite COVID-19. Cleveland Rocks: University Hospitals, based in Cleveland, formed a joint venture with digital health company, ValueHealth, to create a high-value network of ASCs. The centers will focus...

MSSP Generated $1.2B in Total Net Saving to Medicare in 2019

As of January 2020, CMS reports that there are 517 Medicare Shared Savings Program (MSSP) ACOs present in 49 states and DC. These ACOs serve approximately 11.2M beneficiaries nationwide. ACOs are an increasingly important element of the healthcare market and a recent report by CMS Administrator Seema Verma discusses the $1.2B in savings to Medicare generated by ACOs. Click to read more.