In 2023, Medicare Advantage (MA) enrollment surpassed 50% of eligible Medicare patients. MA payments rely on risk scores from prior-year diagnoses, incentivizing intensive coding. Authors estimated coding inflation using a novel method based on plan-level mortality rates, applied to 2014 data.
In 2023, Medicare Advantage (MA) enrollment surpassed 50% of eligible Medicare patients. MA payments rely on risk scores from prior-year diagnoses, incentivizing intensive coding. Authors estimated coding inflation using a novel method based on plan-level mortality rates, applied to 2014 data.