CMS seeks comment on proposed updates to the hierarchical condition categories (HCC) model and the use of encounter data for risk adjusting MA plan payments in the 2021 plan year. The proposed changes to the risk adjustment methodology are intended to better predict the cost to care for Medicare Advantage enrollees based on their health status and other factors Research has found that HCC risk scores vary between rural and urban providers. Other proposed payment methodology changes for the 2021 plan year will be released at a later date in Part II of the Advance Notice. Read more here.
