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CMS Updates Medicare Advantage

CMS Receives Record Pushback on Medicare Advantage Changes

CMS faces record industry backlash over proposed changes to Medicare Advantage payment models, with unprecedented public comments submitted. (Source: Healthcare Dive)

Key Takeaways

  • Record number of public comments submitted
  • Industry warns of benefit reductions
  • Final rule expected soon

Source: Healthcare Dive

Categories
CMS Updates Medicare Advantage

CMS Payment Cuts Shake Medicare Advantage Industry

CMS proposes near-flat Medicare Advantage payment rates for 2027 — just 0.09 percent increase — triggering industry concern and stock volatility. (Source: Reuters)

Key Takeaways

  • 0.09 percent increase far below industry expectations
  • Could trigger premium hikes and benefit cuts
  • Final rule expected April 2026

Source: Reuters

Categories
Enforcement Medicare Advantage

CMS Cracks Down on Elevance Medicare Advantage Plans

CMS plans to suspend new enrollments in Elevance Medicare Advantage plans starting March 31, 2026 after years of compliance failures in risk-adjustment data submissions. Current members aren’t affected, but this signals a broader crackdown across Medicare Advantage. (Source: Reuters)

Key Takeaways

  • CMS suspends new enrollments starting March 31, 2026
  • 1.9 million current members not affected
  • Signal of broader industry crackdown

Source: Reuters

Categories
information medicare Medicare Benefits & Services Medicare Policy & Trends

CMS Halts Enrollment in Some Elevance Medicare Advantage Plans

Federal regulators have ordered a temporary halt on new enrollments in certain Elevance Health Medicare Advantage plans after identifying compliance issues. The action reflects growing federal scrutiny of private insurers to ensure they meet program requirements and protect beneficiaries.