Medicare PTA/PTB Managed Care Capitated Payment Amount — July

SAS Name
MDCR_MC_PTA_PTB_CAPTD_SPEND_07

This variable is the monthly capitated premium payment amount for Medicare Part A and Part B.

Comments

CMS and Medicare Advantage (MA) plans use the MARx System to exchange data files and reports between the Plans and CMS. The capitation payments provided to MA and Medicare Advantage Prescription Drug (MAPD) sponsors are calculated and paid monthly.

CCW obtains both the monthly Part A and Part B capitated premium payment information. The dollar amounts reflect the final beneficiary payments and adjustments.

Values: $

Source: CMS Medicare Advantage Prescription Drug System (MARx) data (derived)