Summary of CY2027 Final Rate Announcement

The Centers for Medicare & Medicaid Services (CMS) recently released the Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, which finalizes 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 Final Rate Announcement is more consequential than others in recent history, as the effective payment rate falls substantially below the averages seen in years past.