Wakely Summary: Advance Notice of Methodological Changes for CY 2027 MA Capitation Rates and Part C and Part D Payment Policies

The Centers for Medicare & Medicaid Services (CMS) recently released the 2027 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part C/D Payment Policies, which proposes important changes in plan payments, risk adjustment and other financial and regulatory requirements for 2027. Wakely summarizes key changes that will affect Medicare Advantage pricing for CY2027. This Advance Notice is more consequential than others in recent history, as the effective payment rate falls substantially below the averages seen in years past.

Featured Authors:

  • Jon Blum, Health Transformation

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