Favorable Decision for ACR Members in “TMA III” NSA Case
Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.
Read moreCMS recently released the CY 2027 Medicare Advantage and Part D Proposed Rule, which outlines significant policy and technical changes for Medicare Advantage (MA), Part D, and related programs for Contract Year 2027.
In a detailed summary, ACR® outlines major provisions including:
CMS is seeking stakeholder input through several Requests for Information including risk adjustment modernization, Star Ratings policy changes, integrated care for dually eligible beneficiaries, and well-being and nutrition.
Stakeholders should review the proposed changes and submit comments to CMS by January 26, 2026. These provisions aim to enhance beneficiary experience, improve care quality, and reduce administrative burden while modernizing MA and Part D programs.
If you have questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
Favorable Decision for ACR Members in “TMA III” NSA Case
Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.
Read moreRAPID Pathway for Device Coverage
RAPID pathway could streamline Medicare coverage decisions for eligible breakthrough devices through earlier review alignment.
Read moreDetailed Summary of FY2027 IPPS Final Rule
CMS finalized FY 2027 hospital payment updates, including a 2.3% increase, new technology payments and AI-related policy changes.
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