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Medicare Advantage Flash Points Center on Cuts and Stars
HealthLeaders Media

Where you stand depends on where you sit.

That maxim of bureaucratic politics, known as Miles’ Law, covers a lot of ground in deciphering the proposed 2016 Medicare Advantage payment rate for insurance carriers.

The perspective of the Centers for Medicare & Medicaid Services represents the rosiest payment rate scenario. Upon release of the MA proposed payment rate and rule changes Feb. 20, Sean Cavanaugh, director of CMS’s Center for Medicare, declared that CMS had set “stable rate policies” for the value-based alternative to traditional fee-for-service Medicare.