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Finding Stability in the Medicare Advantage Landscape
Manage episode 481238780 series 3647668
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In this episode, Elizabeth and Sandy delve into the latest updates in the Medicare Advantage and Part D landscape. Our word of the year, "stability," sets the tone as we explore the implications of the CMS final rule for 2026, which finalizes several Biden-era proposals. We discuss the key changes in the rule, including new guardrails for SSBCI and the Medicare Prescription Payment Plan, and highlight what was notably left out. Additionally, we cover the CMS rate announcement and the rebranding of the HEI reward program to "Excellent Health Outcomes for All (EHO4all)," set to be implemented for the 2027 Star Ratings. Lastly, we examine the recent developments in the risk adjustment litigation against UnitedHealth Group, focusing on the special master's report and its potential impact on MA plans.
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