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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 — cover

Quick answer

Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies is a 139-page whitepaper from Centers for Medicare & Medicaid Services (CMS) covering US pharma intelligence. This whitepaper outlines the Medicare Advantage capitation rates and payment policies for 2027, emphasizing stakeholder feedback and risk adjustment strategies.

Research library Data sources More from Centers for Medicare & Medicaid Services (CMS)

High impact Centers for Medicare & Medicaid Services (CMS) 20 min read

Why this matters

This whitepaper outlines the Medicare Advantage capitation rates and payment policies for 2027, emphasizing stakeholder feedback and risk adjustment strategies.

Executive summary

  • This whitepaper outlines the Medicare Advantage capitation rates and payment policies for 2027, emphasizing stakeholder feedback and risk adjustment strategies.

Market Impact

Regulatory high
Commercial high
Competitive medium
Investment high

Who should read this

  • Regulatory affairs teams

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# 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.

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