CMS is raising Medicare Advantage payments by 2.48%, or more than $13 billion, according to its finalized 2027 rate announcement. The agency said April 6 that when estimated risk score trends in MA ...
April 7, 2026 - On Monday, the Centers for Medicare & Medicaid Services released the following: The Centers for Medicare & Medicaid Services released the Calendar Year (CY) 2027 Medicare Advantage (MA ...
Reintroducing Alzheimer disease and related dementias (ADRD) hierarchical condition categories (HCCs) into the Medicare Advantage (MA) risk-adjusted payment model was linked to improved care access ...
Health insurers' stocks rose after the government raised rates on Medicare Advantage programs. In after-hours trading Monday, Humana shares climbed 11% to $203.30, CVS Health shares rose 8% to $78.81 ...
CMS requests ACOs apply for LEAD model starting 2027, offering up to 100% risk sharing and AI risk adjustment by 2031.
The growth of the Medicare Advantage (MA) program to over half of eligible Medicare beneficiaries has made MA payment a salient part of Medicare policy discussions. Those discussions often focus on ...
Medicare Advantage (MA) is privately administered health care insurance for seniors and persons with disabilities. The program has grown rapidly and now covers more than half of Medicare-eligible ...
Improving health equity requires changes to risk adjustment, physicians said Tuesday. Current risk adjustment underestimates the total cost of care of patients who have comorbidities and socially ...
The momentum of value-based care is poised to accelerate. The Centers for Medicare and Medicaid Services has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into ...
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