Research Updates

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In Their Own Words

Health Care Payment and Financing

When A Resolved Billing Scandal Becomes Embedded In New Payment Policy

CMS Should Ensure That Temporary Spending Shocks—Such as the Recent Spike in Skin Substitute Costs—Are Not Mechanically Carried Forward Into Future MA Payments for 2027 and Beyond. But CMS Should Also Move Beyond the Decades-Old HCC Framework and Modernize its Risk Adjustment Approach.

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