A couple of months after CMS had proposed using a 1.9 decrease in projected plan per-person costs for 2015, it looks the news will be slightly better. Actuaries are now expecting the cost of care for plan enrollees will drop by 3.4 percent. The change comes after CMS altered the way it calibrates one particular Medicare Advantage risk management program and slowed the phase-in of another risk management program.
CMS Director Jonathan Blum stated that the cost change benchmark represents an average for all Medicare Advantage plans in the program, country-wide, and at all quality-based reimbursement rate levels.
Read more about the change here.