–Changes are being made to Medicare Advantage (Part C) payments. Actuarial guidelines for the submission of bid information and bidding rules to ensure accurate bids and fair competition among MA plans. Rules for service areas for MA plans are outlined.
–Beginning in 2014, MA plans can receive performance bonuses based on quality of care, for care management programs target individuals with one or more chronic conditions, identify gaps in care, and facilitate improved care.
–MA plans that achieve a 3-star rating will receive a 2% bonus. Those that achieve a 4 or 5 star rating will get a 4% bonus. An MA plan who does not receive at least a 3-star rating but who improves their rating, will receive a 1% bonus.