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 key financial and regulatory requirements for 2027. During this webinar, Wakely consultants will provide an overview of the proposed changes, with an emphasis on the likely impact that the new rates and policies will have on Medicare Advantage bids, membership growth, quality and strategy. 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. Speakers will also touch on the important items from the CY2027 Proposed Rule, released on 11/25/2025.
Learning Objective:
- Explain the key drivers of the change in the FFS and MA growth rates, the proposed changes to the Rx-HCC models
- Discuss key components of the proposed changes to Stars measures and methodology
- Outline key items from the CY2027 Proposed Rule, released on 11/25/2025
Moderator:
- Tim Courtney, FSA, MAAA Wakely, an HMA Company
