Letter: Questions abound about HMSA’s big payout shift
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HMSA’s accelerated shift of primary care payment from capitation to fee-for-service — now set for Sept. 1 — appears best understood in light of Medicare’s full implementation of the “V28” (version 28) risk adjustment model on Jan. 1, 2026. V28 aims to make Medicare Advantage payments more accurate and reduce overpayments tied to unsupported risk coding.
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