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
On April 7, the Centers for Medicare & Medicaid Services (CMS) released the final 2026 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. This notice confirms key updates to risk adjustment, plan payments, and program requirements, solidifying several proposals from the earlier CMS Advance Notice. Here’s what health plans need… Continue reading 2026 CMS Final Notice: Everything Plans Need to Know
