As the Affordable Care Act increased the number of Americans with health coverage, 45% of adult ACA exchange enrollees had chronic conditions in 2014 and 2015. That’s a higher percentage than those with employer-based insurance and in nongroup plans not in the exchanges, according to a new study in Health Affairs.
Medicare Advantage plans will see a 3.4% payment boost next year, much higher than the 1.84% increase originally proposed by the White House in February. A final rule issued Monday by the Centers for Medicare & Medicaid Services (CMS) also altered the way it calculates Medicare Advantage risk scores, increasing the portion of encounter data from 15% to 25% for 2019.
Non-skilled in-home care services will be allowed as a supplemental benefit for Medicare Advantage (MA) plans in 2019, the Centers for Medicare & Medicaid Services (CMS) announced in a final rule issued Monday. The benefit marks the first time CMS has allowed supplemental benefits that include daily maintenance in Medicare Advantage.