posted by Oliver Wyman
on February 22, 2017
On February 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released the Advance Notice of Methodological Changes for Calendar Year 2018 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies (the 2018 Advance Notice). The Advance Notice outlines the planned changes to Medicare Advantage (MA) capitation rates applied under Part C and Part D for calendar year (CY) 2018 and other regulatory changes that will affect plan reimbursement.
Given the implications of the 2018 Advance Notice for the MA program, America’s Health Insurance Plans (AHIP) engaged the Actuarial Practice of Oliver Wyman to evaluate the impact of these potential changes in 2018. In this document, we describe and estimate the value of the changes reflected in the 2018 Advance Notice along with those being implemented due to the Affordable Care Act (ACA).