Breaking
πŸ‡ΊπŸ‡Έ FDA
Whitepaper US Score 85/100

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
Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies β€” cover
⬇

Download the full 139-page PDF

Free Β· 1.5 MB Β· Instant access after email

πŸ”’ We never share your email. Single-click download.
# 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.

Download PDF ↓