CENTENE CORPORATION

Medicare/Medicaid

H.R. 3746, Fiscal Responsibility Act of 2023, including provisions related to Medicaid. S. 1002, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, including provisions that would alter MA payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS. Issues related to implications of the Medicare Advantage rate notice and proposed alternatives. Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and staying connected on impact info on the new MA risk adjustment model.

TargetedSENATE · HOUSE OF REPRESENTATIVES · White House Office · Health & Human Services, Dept of (HHS) · Centers For Medicare and Medicaid Services (CMS)

Health Issues

H.R. 3799, Custom Health Option and Individual Care Expense (CHOICE) Arrangement Act, including provisions related codifying into law a 2019 Administration rule that expanded HRAs to allow employees to purchase their own health insurance plan on the individual market through CHOICE Arrangements. Issues related to provider directories.

SENATE · HOUSE OF REPRESENTATIVES