2027 Medicare Advantage Star Ratings show gains in high-rated plan enrollment
More than 70% of beneficiaries in Medicare Advantage (MA) plans that include prescription drug coverage are in contracts rated at least four stars out of five, according to CMS’s Star Rating release for 2027. Those plans are in line for quality-bonus payments and in 2028 will receive higher rebates that are used to support supplemental…
Consequences of new MA and ACA Marketplace regulations
Nick and Shawn discuss regulatory changes coming from CMS for the 2027 regulatory season.
Hospitals brace for leaner contracts as Medicare Advantage plans face financial pressures
Medicare Advantage plans are projecting a 900,000 drop in enrollment in 2026, which could have negative consequences for hospitals and health systems due to plans under increased financial pressure pushing administrative requirements.
Some commissioners question MedPAC finding of no MA margin impact
A recent analysis by Congress' Medicare advisers found that increasing shares of Medicare Advantage patients do not hurt hospital margins, but some commissioners have raised questions about the findings.
Hospitals urge ways to cut $1 trillion administrative cost
The American Hospital Association has submitted 100 regulatory changes to the Trump administration to reduce the estimated $1 trillion annual cost of health administrative requirements, including deregulating quality measures, billing and payment, and telehealth.