Medicare Advantage Funding Correction: Adjusting Rates for Local Cost Growth.
This law changes how Medicare Advantage (MA) plans are paid in areas where healthcare costs, driven by wage increases, were previously underestimated. Starting in 2025, the government must adjust payment rates to accurately reflect local growth, aiming to stabilize funding and maintain the quality of benefits for seniors enrolled in these plans. Immediate implementation is required to affect 2025 rates.
Key points
New rules mandate adjusting Medicare Advantage payment rates to account for significant local cost growth, particularly wage increases in healthcare.
The adjustments apply specifically to MA plans in areas where the wage index increased by over 20%, ensuring more appropriate funding starting in 2025.
The government is required to implement these rate corrections immediately to address current under-projections for the 2025 calendar year.
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