Ever wondered how CMS sets the Medicare Advantage (MA) benchmarks and how payments flow from CMS to health plans and from health plans to providers? In this session Milliman experts will follow the funds flow from the county benchmark to plan revenue, and to MA plans’ provider network. Attendees of this session will understand the funds flow, the key payment methodology components and assumptions, and how the MA payments relate back to Medicare fee-for-service costs and provider payment rates.
