MA Capitation Rates Rising In 2022

An increase in capitated rates may prove positive for Medicare Advantage (MA) payers like Humana, UnitedHealthcare, Aetna and Anthem in 2022. To combat improper inflation of risk scores, the Centers for Medicare and Medicaid Services (CMS) is proposing to rely on encounter data to calculate patient risk.

For more on this, please see the article below.

I-SNPs Show Promise Even During Pandemic

An institutional special needs plan (I-SNP) is essentially where a nursing home becomes a Medicare Advantage (MA) provider. Many who are venturing into this process started last year. COVID-19, however, has delivered major challenges.

The article below details clinical upsides being discovered as well as a view of how timetables are currently adjusting.