Risk Adjustment

CMS Final Call Letter 2019

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

 

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