On April 1st, the Centers for Medicare and Medicaid Services (CMS) issued a final Rate Announcement and Call Letter for CY 2020. These documents establish various policy and payment updates for Medicare Advantage (MA) plans, Prescription Drug Benefit (Part D) plans, and Programs of All-Inclusive Care for the Elderly (PACE). The finalized policy changes are expected to increase revenue to participating plans by 2.53%, up from the 1.59% projected in the draft call letter. In addition, CMS expects the underlying coding trend will increase risk scores by an average of 3.3% in 2020.
The attached document summarizes key provisions of the Rate Announcement and Call Letter. The press release and fact sheet may be viewed here. The text of the regulation is available here.