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 Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments. The…
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A JAMA study published Feb. 18 found that 10% of Medicare Advantage beneficiaries — approximately 2.9 million — have needed to find other health coverage for…
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The Senate Special Committee on Aging held a hearing Feb. 11 on issues impacting physician burnout. The AHA provided a statement for the hearing and urged…
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More than 34.1 million Americans were enrolled in a Medicare Advantage plan in 2025, accounting for 54% of all Medicare beneficiaries. We have seen enrollment…
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A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase…
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The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for…