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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