Implications of the 2025 CMS Last Fee Announcement for high quality packages

In February, the proposed adjustments introduced within the 2025 Medicare Benefit (MA) and Half D Advance Discover launched by the Facilities for Medicare & Medicaid Providers (CMS) allowed plans to organize for updates to fee elements impacting their threat adjustment and high quality packages earlier than official discover of set charges.

With the publication of the Last Fee Announcement, funds to MA plans embody as much as a 3.70% increase on common, or over $16 billion in comparison with 2024—the identical as CMS proposed within the Advance Discover, regardless of business advocates arguing {that a} higher rate increase is warranted. Federal funds are projected to contribute as much as $600 billion to MA plans complete. Nonetheless, adjustments to the Star Scores program particularly are anticipated to lower funds to plans by 0.11%.

I invite you to affix me for an in depth have a look at the Star Ranking measures and insurance policies outlined within the Last Rule as a part of our year-long High quality Decoded webinar collection. Discover out how one can put together for upcoming adjustments to your MA Star Scores in our webinar on Thursday, April 25 at 1 pm ET as we talk about the publication of the Last Fee Announcement.

Attend our brief 30-minute webinar as we:

  • Overview the 2025 Last Fee Announcement from a high quality enchancment perspective
  • Supply suggestions to prioritize and put together
  • Talk about the impression on particular Star Scores measures

Register for the webinar

Don’t miss this chance to drive higher high quality enchancment in 2024 and past. Register now for future High quality Decoded webinars and acquire entry to previous webinar content material.

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