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Industry braces for final 2016 Medicare Advantage rates
Modern Healthcare

Health insurers are hoping the CMS will roll out favorable 2016 Medicare Advantage payment rates next week, but most observers will be focusing on whether the government moves to an updated risk-scoring system.

The CMS will release final rates and policies after the markets close Monday. In February, the CMS said the benchmark rates for Medicare Advantage plans would decline by 0.95% on average next year. But when factoring in the growth of higher risk scores coded by insurers, the CMS estimated average payments would increase by 1.05%.