CMS Projects ‘Healthy’ MA Pay Raise of 2.8% for 2022

Following up on its promise to advance the timeline for releasing rates and other information relevant to the 2022 bid cycle, CMS on Oct. 30 posted Part 2 of the 2022 Advance Notice, which indicated Medicare Advantage plans will receive one of their largest pay boosts in recent history — about 2.8%. That’s compared with an estimated increase of 0.93% given in Part 2 of the 2021 Advance Notice, although that figure improved to 1.66% in the final rate notice (RMA 4/16/20, p. 1).

CMS on Sept. 14 released Part 1 of the Advance Notice, which contained mostly expected items such as the final phaseout of the legacy Risk Adjustment Processing System (RAPS) in determining risk scores (RMA 9/17/20, p. 1). That notice in the past has come out anywhere from December to January, but CMS at the time said it was moving things up to accommodate an early final rate notice release of mid-January 2021 given the uncertainty associated with the COVID-19 pandemic. CMS is statutorily required to post the final rate notice for the coming calendar year by early April.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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