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This bill amends the Medicare Advantage (MA) payment formula under the Social Security Act to adjust capitation rates for MA local plans in service areas where the area wage index increased by more than 20 percent in a prior year. The bill directs the Secretary of Health and Human Services to recalculate growth percentages and benchmark amounts for affected plans, with adjustments potentially retroactive to 2024, and requires immediate implementation of these changes for 2025 rates without the standard advance notice requirement.
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