The Centers for Medicare & Medicaid Services Nov. 25 issued a proposed rule for policies governing the Medicare Advantage and Part D programs for 2027. CMS proposed changes to the quality measurement programs and health plan marketing practices; the agency did not, however, propose changes to the risk adjustment model. Instead, the rule includes several requests for information seeking public input on potential improvements to the MA program, including changes to the risk adjustment and quality bonus payment systems; oversight of chronic condition special needs plans serving dually eligible individuals; and coverage of well-being and nutrition policies, among other issues. CMS will accept comments on the proposed rule for 60 days following publication in the Federal Register. 

Related News Articles

Headline
The AHA Jan. 9 urged the Medicare Payment Advisory Commission to consider, during its next meeting Jan. 15-16, higher payment updates for the…
Headline
The Centers for Medicare & Medicaid Services has implemented an online form for providers to submit complaints regarding Medicare Advantage plans. A CMS…
Headline
The Centers for Medicare & Medicaid Services released a memo Dec. 16 announcing the agency’s intent to conduct a voluntary pilot in 2026, called the…
Headline
A new report from KFF reveals that Medicare Advantage enrollees had access to just 48% of the physicians available to Traditional Medicare beneficiaries in…
Headline
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address…
Headline
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans…