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Monday, March 17, 2014
Estimated Reduction in 2015 for Medicare Advantage Organizations
1. ACA quartile impact for 2015: -2.4%
2. Change in plans' star rating for 2015: 0.4%
3. Elimination of bonus for 3.0 and 3.5 stars for 2015: -1.9%
4. Elimination of applicable amount bonus: -0.1%
5. Ratebook change for 2015: -1.9%
6. Projected insurer fee for 2015: -0.8%
7. Coding intensity change for 2015: -0.25%
8. Risk Score normalization factor for 2015: -3.2%
9. Elimination of home assessment visit diagnoses: -2.0%
10. Total Reduction for 2015: -5.9%
Source: Oliver Wyman
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