We help health plans and risk-bearing providers improve outcomes across their risk adjustment and quality programs.
On April 6, CMS released the Final Notice for Contract Year 2027 Medicare Advantage and Part D payment policies, outlining updates to rates, risk adjustment, Star Ratings, and Part D redesign. While the final notice provides modest financial relief compared to earlier expectations, it reinforces CMS’s continued focus on payment accuracy, data integrity, and long-term… Continue reading CMS Final Notice 2027: What Plans Need to Know
The first full year of V28 is behind us. What did we actually learn? When CMS introduced V28, many organizations approached it as a model update, something to adapt to, optimize around, and eventually stabilize. A year into operating under the new model, a different reality has emerged. V28 was not just a recalibration. It… Continue reading V28 Fully Realized: What Health Plans Learned and What Comes Next
On January 26, 2026, the Centers for Medicare & Medicaid Services (CMS) released the 2027 Advanced Notice for Medicare Advantage (MA) plans, detailing proposed changes to MA capitation rates and Part C and Part D payment policies. The updates reflect CMS’s continued focus on payment accuracy, data integrity, and alignment with Original Medicare, with meaningful implications for… Continue reading 2027 CMS Advance Notice: Risk Adjustment and Quality Impacts for Medicare Advantage Plans
