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CMS releases Part I of the 2022 Medicare Advantage and Part D Advance Notice

Today, CMS is releasing Part I of the 2022 Medicare Advantage Advance Notice to provide plans with earlier notification of proposed payment changes. This announcement of Medicare Advantage and Part D payment methodologies is being made approximately three months earlier than usual to provide Medicare Advantage organizations and Part D sponsors more time to take this information into consideration as they prepare their bids for 2022. The earlier release will help Medicare Advantage and Part D plans to better address estimating 2022 plan costs, in light of the uncertainty associated with the COVID-19 pandemic.

CMS updates the methodology used to calculate payments made to Medicare Advantage and Part D plans through the agency’s Advance Notice and Rate Announcement process. Today’s Advance Notice Part I includes information about Medicare Advantage risk adjustment for 2022 with a 60-day comment period. Other changes to payment methodologies for 2022 that are typically contained in the Advance Notice Part II only require a 30-day comment period and will be released at a later time. The Medicare Advantage and Part D payment policies for 2022, discussed in both Part I and Part II of the Advance Notice, will be finalized in the 2022 Rate Announcement published no later than April 5, 2021.

For a fact sheet on Part I of the 2022 Advance Notice, please visit: https://www.cms.gov/newsroom/fact-sheets/2022-medicare-advantage-advance-notice-part-i-risk-adjustment

To view Part I of the 2022 Advance Notice, please visit: https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Announcements-and-Documents.html and select “2022.”

 

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