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Medicare Advantage Payment Increase Proposals

Comparison of initial vs final payment rate proposals for 2027

Primary Sources

statnews.com
Medicare Advantage plans reap billions from ratings changes - STAT

By Bob HermanApril 2, 2026 Business of Health Care Reporter Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also the author of the Health Care Inc. newsletter. You can reach Bob on Signal at bobjherman.09.The Trump administration is slashing the number of quality and care measures that Medicare Advantage plans will be graded on, a move that will funnel an extra $18.6 billion toward health insurers over the next decade. The final regulation, released Thursday by President Trump’s Centers for Medicare and Medicaid Services, is significantly more beneficial for the insurance industry than originally expected. CMS previously estimated these changes to star ratings would cost $13.2 billion between 2028 and 2036 when the rule was proposed in November. The extra funding from star ratings provides a sizable buffer for Medicare Advantage insurers, which are awaiting final payment rates for 2027 and experiencing higher medical claims. Insurers have lobbied Trump officials for more money in their baseline payments, and to scale back changes in how they record the sicknesses of their members. The government is supposed to release that regulation no later than April 6. STAT+ Exclusive Story Already have an account? Log in This article is exclusive to STAT+ subscribers Unlock this article — plus daily intelligence on Capitol Hill and the life sciences industry — by subscribing to STAT+. Already have an account? Log in View All Plans To read the rest of this story subscribe to STAT+. Subscribe

statnews.com
finance.yahoo.com
Trump officials consider auto-enrolling seniors in Medicare Advantage ...

Trump administration officials say they are exploring whether to automatically enroll seniors into Medicare Advantage plans, instead of traditional Medicare, if they don't actively choose a ...

finance.yahoo.com
cms.gov
Contract Year 2027 Medicare Advantage and Part D Final Rule

On April 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a final rule revising the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), and Medicare Cost Plan Program. The Contract Year (CY) 2027 MA and Part D final rule aims to improve quality and access to care for people enrolled in these programs by finalizing updates to MA and Part D ...

cms.gov
modernhealthcare.com
CMS finalizes Medicare Advantage Star Ratings overhaul for 2027

The Centers for Medicare and Medicaid Services will remove a set of 11 measures from the Medicare Advantage Star Ratings program for 2027. CMS will not implement a "Health Equity Index" insurers ...

modernhealthcare.com