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Medicare Advantage

A collection of 2 issues

CMS Just Turned Medicare Advantage Rate-Setting Into a Two-Date Repricing Structure

CMS’s 2027 MA Advance Notice sets a near-flat headline update, but the staged Advance Notice-to-April announcement cycle creates two repricing moments and elevates encounter linkage and documentation defensibility as economic variables.

CMS’s 0.09% Headline Masks a Deeper Medicare Advantage Reset

CMS proposed a +0.09% net Medicare Advantage payment update for 2027, offsetting nearly 5% effective growth through normalization and diagnosis-source adjustments, materially tightening plan economics.