The Center for Medicare and Medicaid Services publishes a variety of documents outlining how much they reimburse Medicare Advantage and Part D Prescription Drug plans. Below is the monthly reimbursement rate for Medicare Advantage plans known as the capitation rate. This is only for California counties. The capitation amount is only for the medical portion of the Medicare Advantage health plan. There is a separate amount if the plan includes prescription drug coverage.
California Sutter Health System Update Anthem Blue Cross (“Anthem”) and Sutter Health System Medical Groups (“Sutter Medical Groups”) have been engaged in negotiations for several months to reach reasonable reimbursement rates and contractual terms that are beneficial to both organizations. Unfortunately, Sutter Health will be terminating its participating hospital/provider contract with Anthem Blue Cross (“Anthem”), […]