CMS Changes the Rules
CMS will publish its
final rate announcement on April 3rd — and not everyone is happy.
Controversy surrounds a rule change affecting the CMS Hierarchical
Condition Categories (HCC) Risk Adjustment Model, which is estimated to
reduce payments. But some carriers have made it clear that payments are
too low. So what’s really going on? And how can you best manage plan
designs in 2024 based on these changes?
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