Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter
The 2019 CMS announcement contains the following attachments:
- The final estimates of the National Per Capita MA Growth Percentage for 2019 and the National Medicare Fee-for-Service (FFS) Growth Percentage for 2019. These growth rates were used to calculate the 2019 capitation rates.
- Details of the key assumptions and financial information behind the growth percentages presented in Attachment I.
- Responses to Part C payment related comments on both Parts I and II of the Advance Notice of Methodological Changes for CY 2019 MA Capitation Rates and Part C and Part D Payment Policies (Advance Notice).
- Responses to Part D payment related comments on the Advance Notice.
- Final Part D benefit parameters and contains details on how they are updated.
- CMS-HCC and CMS-HCC ESRD Risk Adjustment Factors
- Final Call Letter
Download the full document HERE
