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 comment period for the Centers for Medicare & Medicaid Services' proposed rule for policies governing the Medicare Advantage and Part D programs for…
Headline
The Medicare Payment Advisory Commission Jan. 15 voted to recommend that Congress update Medicare payment rates for hospital inpatient and outpatient services…
Headline
UnitedHealth Group announced Jan. 14 that it launched a six-month pilot program to reduce Medicare Advantage payment processing times by half for rural…
Headline
A Senate Judiciary Committee report released Jan. 12 found that UnitedHealth Group used “aggressive strategies” to maximize its Medicare Advantage risk-…
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…