Tag: Quality Measurement

2027 Medicare Advantage and Part D Proposed Rule: CMS Modernizes Quality Metrics and Risk Adjustment

CMS 2027 Proposed Rule aims to modernize Medicare Advantage and Part D programs with updates to quality metrics, risk adjustment models, and beneficiary protections. Key changes include Star Ratings revisions, incorporation of Inflation Reduction Act drug pricing provisions, and requests for stakeholder feedback on quality bonus payments and care coordination.

Thomas Scully on Medicare Advantage Growth, Quality Metrics, and U.S. Healthcare Policy

Former CMS Administrator Thomas Scully discusses Medicare Advantage expansion, risk adjustment challenges, healthcare quality improvements, and the impact of bipartisan politics on U.S. healthcare policy.

CMS Proposes Major 2027 Medicare Advantage and Part D Program Reforms

CMS proposes extensive changes to the 2027 Medicare Advantage and Part D programs, including benefit design reforms, new enrollment rules, marketing policy updates, and modifications to quality ratings and special needs plans.