Medicare Advantage V28: A Primer on What Providers Can Expect

By Larissa Long Sep 11, 2023

The Centers for Medicare & Medicaid Services (CMS) regularly update reimbursement models to ensure reimbursements keep pace with the industry. The latest policy updates—version 28 (V28)—will slowly phase out version 24, which has been in use since 2020. 

V28 includes significant changes to the Medicare Advantage (MA) capitation rate and risk adjustment methodologies. This impacts how practices allocate resources for care.  

This primer breaks down the most impactful changes. (Click to expand.)