Announcement of Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies
CMS-Hierarchical Condition Categories (CMS-HCC) Risk Adjustment Model (Non-PACE) In the proposed CY 2024 Advance Notice, on page 3, there is a proposed announcement that the risk scores will be calculated as a blend of 67% of the risk scores calculated with the current model (the 2020 model) and 33% of the risk scores calculated with the updated model (the 2024 model). For CY 2025, they expect risk scores to be calculated as a blend of 33% of the risk scores calculated with the 2020 model and 67% of the risk scores calculated with the 2024 model, and for CY 2026 , they expect 100% of the risk scores to be calculated with the 2024 model. Link to the document: Announcement March 31 2023 file:///C:/Users/cjtrujillo/Downloads/2024%20Rate%20Announcement%20033123_FINAL508.pdf Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for a...