Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies
This whitepaper outlines the Medicare Advantage capitation rates and payment policies for 2027, emphasizing stakeholder feedback and risk adjustment strategies.
- Publisher
- Centers for Medicare & Medicaid Services (CMS)
- Published
- Length
- 139 pages
- File
- 1.5 MB PDF
β¬
Download the full 139-page PDF
Free Β· 1.5 MB Β· Instant access after email
# Executive Summary
The whitepaper provides an overview of the Medicare Advantage (MA) capitation rates and payment policies for the year 2027. Key points include:
- **Growth Percentages**: Final estimates for National Per Capita MA Growth Percentage are 4.40% and FFS Growth Percentage is 5.46%.
- **Risk Adjustment Models**: Continued use of the 2024 CMS-HCC model for calculating risk scores, with adjustments for PACE organizations.
- **Stakeholder Engagement**: Highlights the importance of feedback from various stakeholders including pharmaceutical manufacturers and advocacy groups.
- **Policy Updates**: Details on policies that will be effective for the upcoming payment year, including adjustments for frailty and coding patterns.
- **Future Considerations**: CMS's commitment to ongoing improvements in risk adjustment and payment methodologies.
Ready to read the full report?
Join 12,000+ pharma leaders getting deep industry analysis delivered weekly.