The Centers for Medicare and Medicaid has announced the annual Medicare Advantage (MA) capitation rate and MA and Part D payment policies for each MA payment area for CY09, and the risk and other factors to be used in adjusting such rates.
The final estimate of the increase in the national per capita MA growth percentage for combined aged and disabled beneficiaries is 4.24 percent. These growth rates will be used as the minimum update percentage in calculating the 2009 rates, except for the end-stage renal disease state rates, which are subject to a 2 percent minimum increase.
Also, the county fee-for-service (FFS) rates for 2009 were rebased. MA capitation rates in 2009 will be based on the higher of the county FFS per capita amount or a minimum percentage increase over the 2008 rate. Access the MA web page.
