Inovalon: The Findings on Duals’ Impact on Stars Are Out — But Now What?

Medicare Advantage News: The findings certainly weren’t surprising, but the timing was at least interesting when Inovalon, Inc. on March 31 issued its long-awaited final report on the relationship between Medicare-Medicaid dual-eligible status and Medicare Advantage (MA) plans’ star ratings. The report thus came out six days before CMS must publish its final 2016 payment rates and Call Letter for MA insurers, including any further modifications in payments for MA insurers with large proportions of duals, especially MA Special Needs Plans (SNPs). But it seems likely that CMS will need more than six days to figure out exactly how to incorporate the study’s findings in its policies for star ratings and plan payments. Read more