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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The Centers for Medicare & Medicaid Services released a proposed rule Oct. 16 seeking to codify regulations that will improve the accuracy of Medicare…
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The Centers for Medicare & Medicaid Services has released 2027 Medicare Advantage plan information, including star ratings, through the Medicare Plan…
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The AHA provided comments to the Medicare Payment Advisory Commission Oct. 2 on a discussion from the commission’s September meeting on its examination of…
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The Centers for Medicare & Medicaid Services announced Sept. 28 that it projects declines in average premiums for Medicare Advantage and Part D in 2027.…
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The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…
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The Centers for Medicare & Medicaid Services July 27 released its Contract Year 2025 Part C and Part D Program Audit and Enforcement Report, outlining key…