Onecare not updating

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Included in this report are final Medicare county base rates, information supporting the estimation of risk-adjusted Medicare components of the rate, details related to the development of the Mass Health portion of the rate, and some information supplemental to the July 2012 Mass Health Data Book to support comparisons of projected spending on the target population to the rates.

The Mass Health component of the rate remains subject to final review and approval by CMS.

These adjustments were available to One Care plans through execution of contract amendments and are conditional upon continued participation in the demonstration through December 31, 2016.

In accordance with the Three-Way Contract as amended and restated in December 2015, these updates to the rates replace the Demonstration rates included in the CY 2015 rate report dated March 5, 2015.

Mass Health, in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing the final Medicaid and Medicare components of the CY 2015 rates for the Massachusetts Demonstration to Integrate Care for Dual Eligible Individuals (One Care).

Effective January 1, 2015, these rates will replace the Demonstration rates included in the CY 2014 rate report.

The general principles of the rate development process for the Demonstration are outlined in the Memorandum of Understanding (MOU) between CMS and the Commonwealth of Massachusetts.Care1st Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site If you enter the web site American Specialty Health (ASH) (hp=Care1st), please be aware that you will leave Care1st Health Plan's web site, and will be routed to the ASH web site that adheres to the rules, policies, regulations and terms of use of that service.Included in this report are final CY 2016 Medicaid rates and updated CY 2016 Medicare county base rates.Mass Health, in conjunction with the Centers for Medicare and Medicaid Services (CMS), is releasing updated final Medicaid and Medicare components of the CY 2015 rates for the Massachusetts Demonstration to Integrate Care for Dual Eligible Individuals (One Care).Compared to the May 15, 2013 Rate Report this document includes updates related to: start date; savings percentages; risk corridors; the default rate; the impact of sequestration; administrative expense update to the Mass Health component; and other minor clarifications.

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