Medicare Compliance & Reimbursement

Industry Notes:

Medicare Advantage Pay to Rise by 0.85 Percent

Looking for a boost in your Medicare Advantage payments? CMS is prepared to oblige, but won’t be offering as much as most practices had previously been hoping.

Effective Jan. 1, 2017, the Centers for Medicare & Medicaid Services (CMS) will raise Advantage payments by 0.05 percent, although this is a bit lower than CMS’s previous projection, which had the raise projected at 1.35 percent. “The final revenue increase is somewhat smaller than the increase estimated in the February Advance Notice due primarily to technical updates in the risk adjustment normalization factor,” CMS said in an April 4 statement about the payment changes. In addition, Medicare officials said in a Fact Sheet that practices will see an overall “expected average change in revenue” of 3.05 percent, which could significantly impact practitioners’ bottom lines.

Resource: To read the complete announcement of the 2017 updates, visit www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2016-Press-releases-items/2016-04-04.html.

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