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Medicare Advantage insurers rail against “encounter data” to CMS
Modern Healthcare

While Medicare Advantage insurers are excited about getting more flexibility to tailor supplemental benefits for chronically ill patients in 2020, they aren’t happy with the CMS‘ plan to increase the use of “encounter data” to calculate their payments.

In the more than 200 comments on the 2020 Medicare Advantage and Part D Advance Notice and call letter, insurers were generally supportive of CMS’ plan to expand the supplemental benefits that plans may offer their chronically ill patients to include things like nonmedical transportation and home-delivered meals or produce, as called for by the Bipartisan Budget Act of 2018.

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