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. 

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Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by…
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The AHA May 7 wrote to House and Senate lawmakers in support of the Medicare Advantage Improvement Act (H.R. 8375/S. 4384), bipartisan and bicameral…
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The AHA today submitted comments on the Centers for Medicare & Medicaid Services’ proposed revisions to Medicare Advantage and Part D reporting…
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The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and…
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UnitedHealth Group announced plans to expand its Rural Payment Acceleration Pilot to reduce Medicare Advantage payment processing times for…
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Few patient populations are more vulnerable to the shifting winds around health care today than Medicare beneficiaries who need specialized, high-acuity and…